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General NPI Number Information
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NPI Number | 1053948463
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Entity Type | Individual
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Provider Name | CHRISTOPHER FAWZY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 8819 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-3347
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Country | US
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Telephone | 239-284-1404
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Fax | 239-249-6795
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Provider Business Mailing Address
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Address Line | 8651 ADDISON PLACE CIR UNIT 113
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City | NAPLES
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State | FL
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Zip | 34119-7852
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Country | US
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Telephone | 732-744-6840
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT35653
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License Number State | FL
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