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General NPI Number Information
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NPI Number | 1477857704
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Entity Type | Organization
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Legal Business Name | GOSHORN PSYCH-SERVICES PLLC
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 935 W 18TH ST S
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City | NEWTON
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State | IA
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Zip | 50208-3500
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Country | US
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Telephone | 641-871-0764
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Fax | 641-792-2745
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Provider Business Mailing Address
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Address Line | 1501 50TH ST STE 110
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5920
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Country | US
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Telephone | 515-421-3679
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Fax | 888-203-7693
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Authorized Official
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Title or Position | OWNER
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Name | CINDY RENEE GOSHORN
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Credential | DNP, ARNP
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Telephone | 641-205-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G-096742
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License Number State | IA
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