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General NPI Number Information
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NPI Number | 1366565046
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Entity Type | Individual
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Provider Name | KAREN E GODDARD LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | ONE WASHINGTON STREET MILL RIVER PROFESSIONAL CENTER
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City | TAUNTON
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State | MA
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Zip | 02780
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Country | US
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Telephone | 508-828-9116
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Fax | 508-828-9146
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Provider Business Mailing Address
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Address Line | 179 WILLIAM ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6021
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Country | US
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Telephone | 774-264-1514
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Fax | 508-828-9146
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116090
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License Number State | MA
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