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General NPI Number Information
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NPI Number | 1306551965
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Entity Type | Individual
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Provider Name | JANESHA GOODEN DC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 13005 SOUTHERN BLVD STE 214
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City | WELLINGTON
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State | FL
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Zip | 33470-9272
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Country | US
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Telephone | 561-996-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 13422 74TH ST N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-2711
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Country | US
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Telephone | 985-210-3726
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13918
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License Number State | FL
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