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General NPI Number Information
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NPI Number | 1952383812
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Entity Type | Individual
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Provider Name | SONYA K. GOODIN FNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 515 W MAIN ST
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City | ELMA
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State | WA
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Zip | 98541-9285
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Country | US
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Telephone | 360-861-8700
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Fax | 360-861-8711
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Provider Business Mailing Address
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Address Line | 1171 HART ST
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City | CANTON
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State | MS
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Zip | 39046-4805
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Country | US
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Telephone | 601-859-9888
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Fax | 601-859-9004
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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 | R850539
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License Number State | MS
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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 | AP61669968
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License Number State | WA
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