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General NPI Number Information
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NPI Number | 1962480004
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Entity Type | Individual
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Provider Name | GEOFF A. GOODRICH RVT
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1127 SIERRA LAUREL CT
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City | HENDERSON
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State | NV
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Zip | 89014-8701
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Country | US
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Telephone | 702-339-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 205 N STEPHANIE ST SUITE D #145
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City | HENDERSON
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State | NV
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Zip | 89074-8115
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Country | US
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Telephone | 702-339-1560
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Fax | 702-436-9892
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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 | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State | NV
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