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General NPI Number Information
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NPI Number | 1508966557
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Entity Type | Organization
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Legal Business Name | GOOD CONNECTIONS, INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 823 KEELER ST
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City | BOONE
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State | IA
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Zip | 50036-2729
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Country | US
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Telephone | 515-433-2100
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Fax | 515-432-5544
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Provider Business Mailing Address
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Address Line | 1109 DIVISION ST
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City | BOONE
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State | IA
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Zip | 50036-1818
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Country | US
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Telephone | 515-432-6911
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Fax | 319-865-3110
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | BRENDA S LARSEN-BOLINE
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Credential |
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Telephone | 319-865-3027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36314
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 01393
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00235
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00240
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License Number State | IA
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