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General NPI Number Information
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NPI Number | 1053649756
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Entity Type | Individual
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Provider Name | CHRISTINE HOLLEY PERKINS RPT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 875 E CANAL DR 5
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City | TURLOCK
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State | CA
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Zip | 95380-4550
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Country | US
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Telephone | 209-620-6301
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Fax | 209-667-4787
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Provider Business Mailing Address
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Address Line | 3671 APPLE BLOSSOM LANE
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City | TURLOCK
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State | CA
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Zip | 95382
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Country | US
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Telephone | 209-620-6301
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Fax | 209-667-4787
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 17444
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License Number State | CA
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