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General NPI Number Information
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NPI Number | 1043859754
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Entity Type | Individual
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Provider Name | CHRISTINE TERESA CROTTY LMT
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Gender | Female
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 519 W BROAD ST
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1215
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Country | US
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Telephone | 267-509-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 134 W BROAD ST FL 2
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1295
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Country | US
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Telephone | 215-534-1998
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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 | MSG002434
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License Number State | PA
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