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General NPI Number Information
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NPI Number | 1962188748
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Entity Type | Individual
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Provider Name | CARRIE GOODSPEED
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1605 JEFFERSON STREET
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City | OAKLAND
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State | CA
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Zip | 94612
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Country | US
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Telephone | 510-923-1099
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Fax | 510-350-8793
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Provider Business Mailing Address
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Address Line | 70 PARKVIEW CT
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-4242
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Country | US
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Telephone | 770-355-4375
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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