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General NPI Number Information
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NPI Number | 1518008564
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Entity Type | Individual
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Provider Name | RITA F GOOD M.S., LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 10/21/2007
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD BLDG C 205E
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-453-0132
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Fax |
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Provider Business Mailing Address
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Address Line | 259 NORTH RD
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City | PEACE DALE
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State | RI
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Zip | 02879-2171
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Country | US
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Telephone | 401-453-0132
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Fax | 401-783-2166
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00082
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License Number State | RI
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