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General NPI Number Information
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NPI Number | 1619760014
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Entity Type | Individual
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Provider Name | NADINE GOODWIN LADC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2010 W MOANA LN
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City | RENO
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State | NV
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Zip | 89509-5277
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Country | US
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Telephone | 775-250-0458
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Fax |
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Provider Business Mailing Address
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Address Line | 7551 YOUNG CIR
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City | RENO
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State | NV
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Zip | 89511-1337
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Country | US
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Telephone | 775-250-0458
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01883-L
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License Number State | NV
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