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General NPI Number Information
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NPI Number | 1407397763
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Entity Type | Organization
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Legal Business Name | DEBORAH GOAD, LMFT
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 1029 MONARCH ST SUITE 140
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City | LEXINGTON
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State | KY
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Zip | 40513-1874
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Country | US
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Telephone | 859-806-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 MONARCH ST SUITE 140
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City | LEXINGTON
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State | KY
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Zip | 40513-1874
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Country | US
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Telephone | 859-806-1955
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Fax |
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | MS. DEBORAH ANN GOAD
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Credential | M.R.C.,M.S., L.M.F.T
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Telephone | 859-806-1955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 106767
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License Number State | KY
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