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General NPI Number Information
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NPI Number | 1548063993
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Entity Type | Individual
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Provider Name | NATALIA GOBER
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4134 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45432-3043
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Country | US
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Telephone | 937-365-7455
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Fax | 937-600-6071
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Provider Business Mailing Address
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Address Line | 4134 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45432-3043
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Country | US
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Telephone | 937-365-7455
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Fax | 937-600-6071
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-426009
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License Number State | OH
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