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General NPI Number Information
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NPI Number | 1720300486
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Entity Type | Individual
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Provider Name | JEFFREY WILLIAM GOSNEY PHD, LCSW, ICAADC
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Gender | Male
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 9501 W BUSINESS 83 LOT 812
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City | HARLINGEN
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State | TX
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Zip | 78552-2338
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Country | US
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Telephone | 956-778-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 9501 W BUSINESS 83 LOT 812
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City | HARLINGEN
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State | TX
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Zip | 78552-2338
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Country | US
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Telephone | 956-778-5460
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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 | 205276
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 501699
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 138
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 52026
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 002193
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License Number State | MO
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