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General NPI Number Information
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NPI Number | 1316323124
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Entity Type | Individual
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Provider Name | ELIZABETH ARPE GOODMAN RN, MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 191 WALLBURG HIGH POINT RD
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City | WINSTON SALEM
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State | NC
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Zip | 27107-9835
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Country | US
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Telephone | 336-870-4405
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Fax |
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Provider Business Mailing Address
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Address Line | WAKEFOREST BAPTIST MEDICAL CNTR DEPT OF MEDICAL CENTER BLVD.
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-727-4818
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007832
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License Number State | NC
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