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General NPI Number Information
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NPI Number | 1457027633
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Entity Type | Individual
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Provider Name | WILLIAM MASON GOODE MA, LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 473 ELKS LODGE RD
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City | PAWHUSKA
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State | OK
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Zip | 74056-6542
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Country | US
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Telephone | 539-212-2499
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Fax | 539-212-2648
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Provider Business Mailing Address
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Address Line | 923 S PETTIT AVE
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City | HOMINY
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State | OK
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Zip | 74035-4549
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Country | US
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Telephone | 918-504-2362
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10475
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10475
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10475
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License Number State | OK
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