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General NPI Number Information
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NPI Number | 1538176466
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Entity Type | Individual
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Provider Name | KARL GOODKIN MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 512 VICTORIA LN STE 13
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City | HARLINGEN
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State | TX
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Zip | 78550-3228
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Country | US
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Telephone | 956-296-3821
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Fax | 956-296-3820
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Provider Business Mailing Address
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Address Line | PO BOX 699
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684-0699
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Country | US
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Telephone | 423-439-8000
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Fax | 423-439-2200
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G50538
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD52138
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License Number State | TN
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