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General NPI Number Information
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NPI Number | 1629274865
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Entity Type | Individual
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Provider Name | ARLENE MICHELLE GOODMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 575 ROUTE 28 STE 2100
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City | RARITAN
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State | NJ
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Zip | 08869-1363
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Country | US
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Telephone | 908-725-5530
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Fax | 908-253-6559
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Provider Business Mailing Address
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Address Line | 562 EASTON AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-1900
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Country | US
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Telephone | 732-565-5455
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Fax | 732-565-5454
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 25MA08467500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | MD435198
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08467500
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License Number State | NJ
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