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General NPI Number Information
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NPI Number | 1518776541
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Entity Type | Individual
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Provider Name | SHELLY GOODLING LGPC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 9419 COMMON BROOK RD STE 208
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7570
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Country | US
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Telephone | 410-864-0211
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W MARKET ST STE 406
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City | YORK
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State | PA
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Zip | 17401-1252
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Country | US
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Telephone | 717-659-3730
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP15609
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License Number State | MD
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