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General NPI Number Information
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NPI Number | 1659301265
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Entity Type | Individual
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Provider Name | BRIAN CHARLES GOBER MAT, ATC, NREMT-P
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1670 VOLKER HALL L209 UNIVERSITY BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0001
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Country | US
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Telephone | 205-934-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 2481 MIKELL RD
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City | HAYDEN
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State | AL
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Zip | 35079-9003
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Country | US
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Telephone | 205-229-3287
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 9900084
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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