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General NPI Number Information
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NPI Number | 1932083755
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Entity Type | Individual
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Provider Name | LEVONDA KATRELL GOODSON LPN
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 819 NW 7TH ST
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City | OCALA
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State | FL
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Zip | 34475-6136
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Country | US
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Telephone | 352-421-5896
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Fax |
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Provider Business Mailing Address
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Address Line | 5967 SE 140TH PL
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City | SUMMERFIELD
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State | FL
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Zip | 34491-7794
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Country | US
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Telephone | 352-454-1373
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5177776
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License Number State | FL
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