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General NPI Number Information
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NPI Number | 1578238010
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Entity Type | Individual
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Provider Name | REBECCA DAWN GOODWIN APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 11840 HERO WAY W STE 200
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City | LEANDER
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State | TX
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Zip | 78641-3347
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Country | US
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Telephone | 737-307-1606
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Fax | 737-201-2705
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Provider Business Mailing Address
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Address Line | 617 DRYSTONE TRL
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City | LIBERTY HILL
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State | TX
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Zip | 78642-4406
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Country | US
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Telephone | 512-820-6430
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1025788
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1025788
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License Number State | TX
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