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General NPI Number Information
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NPI Number | 1144158551
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Entity Type | Individual
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Provider Name | CHRISTIAN RODGERS
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 855 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-7400
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Country | US
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Telephone | 404-874-3467
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ALGATE RD
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City | LANGHORNE
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State | PA
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Zip | 19047-8125
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Country | US
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Telephone | 215-431-4643
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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 | PT034208
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License Number State | PA
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