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General NPI Number Information
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NPI Number | 1740384221
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Entity Type | Individual
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Provider Name | DANIEL WILLIAM GOODELL LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 16300 KATY FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77094-1609
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Country | US
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Telephone | 713-263-4441
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Fax | 281-934-2396
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Provider Business Mailing Address
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Address Line | 2211 BLACK HAWK LN
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City | BROOKSHIRE
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State | TX
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Zip | 77423-9513
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Country | US
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Telephone | 713-263-4441
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Fax | 281-934-2396
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 51844
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License Number State | TX
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