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General NPI Number Information
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NPI Number | 1073620787
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Entity Type | Organization
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Legal Business Name | K. CHRISTENSEN INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5910 26TH STREET WEST SUITE E
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City | BRADENTON
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State | FL
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Zip | 34207
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Country | US
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Telephone | 941-746-7974
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Fax | 941-746-0454
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Provider Business Mailing Address
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Address Line | 3216 1ST AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-3432
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Country | US
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Telephone | 941-746-7974
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Fax | 941-746-0454
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Authorized Official
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Title or Position | OWNER LIS. MASSAGE THERAPIST
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Name | KATRINA MARIE NINOS
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Credential | LMT, NMT
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Telephone | 941-746-7974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA28916
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License Number State | FL
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