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General NPI Number Information
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NPI Number | 1568907053
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Entity Type | Individual
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Provider Name | MARTA MAGDELENA GOEBEL-PIETRASZ
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Gender | Female
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 5310 BALL CAMP PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37921-3234
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Country | US
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Telephone | 865-541-6958
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Fax | 865-602-2240
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Provider Business Mailing Address
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Address Line | 200 TECH CENTER DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-2747
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Country | US
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Telephone | 865-637-9711
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5014
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5014
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License Number State | TN
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