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NPI 1073156261

NPI 1073156261 : CHRISTOPHER DAVID FINK CPO : CHATTANOOGA, TN

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General NPI Number Information
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    NPI Number           |    1073156261
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER DAVID FINK CPO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/21/2019
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    Last Update Date     |    10/21/2019
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Provider Practice Location Address
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    Address Line         |    2710 AMNICOLA HWY 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37406-3603
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    Country              |    US
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    Telephone            |    423-698-8971
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2710 AMNICOLA HWY 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37406-3603
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    Country              |    US
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    Telephone            |    423-698-8971
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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        |    222Z00000X
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    Taxonomy Name        |    Orthotist
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    License Number       |    LPO121
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    222Z00000X
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    Taxonomy Name        |    Orthotist
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    License Number       |    ORT252
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    LPO121
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    PRO234
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    License Number State |    TN
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