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General NPI Number Information
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NPI Number | 1386913499
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Entity Type | Organization
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Legal Business Name | DR KRISTY MONTZ-GOBLE CHIROPRACTOR PC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 16500 STATE HIGHWAY 76
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City | CASSVILLE
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State | MO
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Zip | 65625-4115
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Country | US
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Telephone | 417-847-5081
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Fax | 417-847-1911
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Provider Business Mailing Address
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Address Line | 16500 STATE HIGHWAY 76
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City | CASSVILLE
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State | MO
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Zip | 65625-4115
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Country | US
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Telephone | 417-847-5081
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Fax | 417-847-1911
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KRISTY MONTZ-GOBLE
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Credential | D.C.
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Telephone | 417-847-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 005095
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License Number State | MO
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