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General NPI Number Information
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NPI Number | 1841495355
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Entity Type | Individual
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Provider Name | KAREN GOODNATURE
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 240 E HIGHWAY 246 SUITE 300
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City | BUELLTON
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State | CA
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Zip | 93427-9645
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Country | US
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Telephone | 805-688-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 4270 SIRIUS AVE
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City | LOMPOC
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State | CA
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Zip | 93436-1041
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Country | US
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Telephone | 805-705-3498
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P18412
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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