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General NPI Number Information
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NPI Number | 1710050760
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Entity Type | Individual
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Provider Name | RICHARD C. GOOD M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3240 MOUNT MORIAH AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-7805
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Country | US
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Telephone | 270-926-4449
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Fax | 270-926-4554
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Provider Business Mailing Address
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Address Line | 3240 MOUNT MORIAH AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-7805
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Country | US
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Telephone | 270-926-4449
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Fax | 270-926-4554
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 38081
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License Number State | KY
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