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General NPI Number Information
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NPI Number | 1326285933
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Entity Type | Individual
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Provider Name | MS. ADOLPHINA GOODWIN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 8080 N CENTRAL EXPY STE 1700
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City | DALLAS
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State | TX
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Zip | 75206-3783
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Country | US
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Telephone | 469-466-5557
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Fax | 469-466-5558
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Provider Business Mailing Address
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Address Line | 8080 N CENTRAL EXPY STE 1700
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City | DALLAS
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State | TX
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Zip | 75206-3783
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Country | US
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Telephone | 469-466-5557
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Fax | 469-466-5558
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 625084
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License Number State | TX
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