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General NPI Number Information
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NPI Number | 1124466800
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE PRATT D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 6000 ROCKSIDE WOODS BLVD N
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2330
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Country | US
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Telephone | 216-643-8090
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Fax | 216-916-7369
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Provider Business Mailing Address
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Address Line | 6000 ROCKSIDE WOODS BLVD N
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2330
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Country | US
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Telephone | 216-643-8090
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Fax | 216-916-7369
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003782
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License Number State | OH
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