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General NPI Number Information
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NPI Number | 1568668572
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Entity Type | Organization
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Legal Business Name | PATRICK A. GOOD, D.C., P.C.
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14010 ROUTE 8 89
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City | WATTSBURG
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State | PA
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Zip | 16442-2922
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Country | US
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Telephone | 814-739-2775
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Fax | 814-739-2606
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Provider Business Mailing Address
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Address Line | 14010 ROUTE 8 89
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City | WATTSBURG
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State | PA
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Zip | 16442-2922
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Country | US
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Telephone | 814-739-2775
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Fax | 814-739-2606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK A. GOOD
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Credential | D.C.
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Telephone | 814-739-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC001443L
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License Number State | PA
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