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General NPI Number Information
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NPI Number | 1952027948
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Entity Type | Individual
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Provider Name | AIMEE GOSS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 141 HALTON VILLAGE CIR
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City | GREENVILLE
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State | SC
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Zip | 29607-6825
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Country | US
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Telephone | 800-809-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 2 NITTANY PL
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6382
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5017572
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License Number State | NC
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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 | 11023684
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3-001170
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186444
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26600
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License Number State | SC
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