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General NPI Number Information
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NPI Number | 1811101280
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Entity Type | Individual
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Provider Name | RICHARD VERNON GOODIER R. P. T.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1221 COUNTY ROAD 157
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9343
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Country | US
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Telephone | 479-253-1711
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Fax | 215-261-0814
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Provider Business Mailing Address
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Address Line | 5 WOOD CIR
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9411
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Country | US
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Telephone | 479-253-8191
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Fax | 215-261-0814
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 627
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License Number State | AR
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