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General NPI Number Information
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NPI Number | 1760073316
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Entity Type | Individual
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Provider Name | CHRISTIAN MICHAEL GOBLE LPC
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Gender | Male
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 14350 N FRANK LLOYD WRIGHT SUITE 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85260
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Country | US
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Telephone | 480-369-1971
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Fax | 480-661-3878
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Provider Business Mailing Address
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Address Line | 14350 N FRANK LLOYD WRIGHT BLVD STE 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8843
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Country | US
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Telephone | 602-790-7203
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-19420
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License Number State | AZ
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