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General NPI Number Information
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NPI Number | 1538833546
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Entity Type | Individual
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Provider Name | LORI ANNE GODWIN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 912 W MAIN ST STE 401
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City | NEW HOLLAND
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State | PA
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Zip | 17557-9202
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Country | US
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Telephone | 717-556-8358
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Fax | 717-556-8317
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Provider Business Mailing Address
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Address Line | 912 W MAIN ST STE 401
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City | NEW HOLLAND
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State | PA
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Zip | 17557-9202
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Country | US
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Telephone | 717-556-8358
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Fax | 717-556-8317
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP023651
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License Number State | PA
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