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General NPI Number Information
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NPI Number | 1689394637
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Entity Type | Individual
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Provider Name | NATOSHA GOYETTE
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 41 S MAIN ST
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City | NEW MILFORD
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State | CT
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Zip | 06776-3507
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Country | US
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Telephone | 860-740-2228
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Fax |
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Provider Business Mailing Address
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Address Line | 17 MIDDLETON RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1562
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2928
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License Number State | CT
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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 | 5742
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License Number State | CT
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