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General NPI Number Information
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NPI Number | 1821135393
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Entity Type | Organization
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Legal Business Name | THE GOODEN CENTER
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 191 N EL MOLINO AVE
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City | PASADENA
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State | CA
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Zip | 91101-1804
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Country | US
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Telephone | 805-413-1318
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Fax | 805-413-1304
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Provider Business Mailing Address
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Address Line | 191 N EL MOLINO AVE
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City | PASADENA
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State | CA
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Zip | 91101-1804
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Country | US
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Telephone | 626-356-0078
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Fax | 626-356-0655
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS DEVELOPMENT
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Name | CHRISTOPHER ALAN HAZELL
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Credential |
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Telephone | 626-714-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 190009AN
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License Number State | CA
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