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General NPI Number Information
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NPI Number | 1811545064
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Entity Type | Individual
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Provider Name | CHRISTOPHER GOFF
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Gender | Male
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 81 RED ANDERSON RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2879
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Country | US
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Telephone | 941-468-3902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | LAKE LURE
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State | NC
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Zip | 28746-0484
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18419
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License Number State | NC
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