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General NPI Number Information
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NPI Number | 1386952281
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Entity Type | Organization
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Legal Business Name | VICTORIA GOODMAN
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1844 BEACON HILL DR
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City | DRESHER
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State | PA
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Zip | 19025-1412
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Country | US
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Telephone | 215-920-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 1844 BEACON HILL DR
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City | DRESHER
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State | PA
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Zip | 19025-1412
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Country | US
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Telephone | 215-920-4656
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | VICTORIA GOODMAN
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Credential | MS,RD,LDN
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Telephone | 215-920-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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