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General NPI Number Information
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NPI Number | 1629106463
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Entity Type | Individual
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Provider Name | NANCY E GOLDEN LPC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 939 GARDENVIEW OFFICE PKWY
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City | SAINT LOUIS
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State | MO
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Zip | 63141-5917
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Country | US
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Telephone | 314-432-1987
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Fax | 314-994-9988
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Provider Business Mailing Address
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Address Line | 1033 WILTON ROYAL DR #304
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5580
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Country | US
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Telephone | 314-567-3874
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Fax | 314-994-9988
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1889
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License Number State | MO
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