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General NPI Number Information
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NPI Number | 1356290027
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Entity Type | Individual
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Provider Name | KATIE GOBLE
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 680 CRAIG RD STE 308
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7165
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Country | US
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Telephone | 314-453-9203
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Fax |
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Provider Business Mailing Address
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Address Line | 7532 POSSUM HILL RD
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City | WORDEN
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State | IL
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Zip | 62097-2116
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Country | US
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Telephone | 217-821-1589
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Fax | 217-821-1589
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2017023659
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License Number State | MO
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