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General NPI Number Information
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NPI Number | 1346456480
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Entity Type | Organization
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Legal Business Name | WILLIAM H.GOODIN,JR. M.D. P.A.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 12 HOSPITAL CIR STE B
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 3295 ALICE DR
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City | BATESVILLE
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State | AR
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Zip | 72501-6306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H GOODIN JR.
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Credential | M.D.
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Telephone | 870-793-2841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MC0924
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License Number State | AR
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