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General NPI Number Information
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NPI Number | 1871950295
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Entity Type | Individual
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Provider Name | ELIZABETH GOGGIN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2016
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1205 W GREEN OAKS BLVD STE B
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City | ARLINGTON
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State | TX
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Zip | 76013-8333
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Country | US
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Telephone | 817-457-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 6123 ATTICA RD
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City | IMLAY CITY
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State | MI
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Zip | 48444-9703
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Country | US
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Telephone | 248-420-1982
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7969
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133001554
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401000302
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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