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General NPI Number Information
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NPI Number | 1073082723
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Entity Type | Individual
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Provider Name | CHRISTOPHER INFANTE
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Gender | Male
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 11/23/2018
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Provider Practice Location Address
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Address Line | 6501 VAN NUYS BLVD STE 103
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City | VAN NUYS
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State | CA
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Zip | 91401-1425
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Country | US
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Telephone | 818-902-5315
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Fax | 818-780-6562
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Provider Business Mailing Address
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Address Line | 6501 VAN NUYS BLVD STE 103
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City | VAN NUYS
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State | CA
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Zip | 91401-1425
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Country | US
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Telephone |
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Fax | 818-780-6562
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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