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General NPI Number Information
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NPI Number | 1407659998
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Entity Type | Organization
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Legal Business Name | GOODNESS HEALTH, LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 759 E PAGES LN
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City | CENTERVILLE
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State | UT
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Zip | 84014-2556
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Country | US
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Telephone | 720-500-5488
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Fax | 866-880-7184
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Provider Business Mailing Address
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Address Line | 680 N CLARKSON ST
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City | DENVER
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State | CO
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Zip | 80218-3202
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Country | US
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Telephone | 720-500-5488
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Fax | 866-880-7184
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Authorized Official
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Title or Position | CEO
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Name | MICAH HUNTZINGER
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Credential |
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Telephone | 720-500-5488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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