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General NPI Number Information
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NPI Number | 1336362862
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Entity Type | Organization
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Legal Business Name | PEARLYN GOODMAN-HERRICK, ND PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1465 POST RD E SUITE 205
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City | WESTPORT
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State | CT
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Zip | 06880-5528
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Country | US
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Telephone | 203-256-9091
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Fax | 203-256-9097
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Provider Business Mailing Address
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Address Line | 1465 POST RD E SUITE 205
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City | WESTPORT
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State | CT
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Zip | 06880-5528
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Country | US
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Telephone | 203-256-9091
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Fax | 203-256-9097
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEARLYN GOODMAN-HERRICK
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Credential | ND
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Telephone | 203-256-9091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 001454
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 055481-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0000048
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License Number State | CT
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