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General NPI Number Information
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NPI Number | 1386719102
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Entity Type | Individual
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Provider Name | MATTHEW W GODWIN DC
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 5346 8TH ST
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-4336
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Country | US
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Telephone | 813-782-1316
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Fax |
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Provider Business Mailing Address
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Address Line | 33125 SAINT JOE RD
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City | DADE CITY
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State | FL
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Zip | 33525-0300
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Country | US
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Telephone | 813-810-2689
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8738
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License Number State | FL
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