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General NPI Number Information
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NPI Number | 1942587936
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Entity Type | Individual
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Provider Name | ERIN P GOODMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR BLDG 7500
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-524-7904
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 NOBLE FIR CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80927-4040
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Country | US
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Telephone | 901-305-4733
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 16275
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16275
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 164138
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License Number State | TN
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