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General NPI Number Information
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NPI Number | 1144257841
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Entity Type | Individual
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Provider Name | CHRISTOPHER NENTARZ PT
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 100 WASHINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14217-1966
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Country | US
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Telephone | 716-512-9440
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Fax |
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Provider Business Mailing Address
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Address Line | 50 S ROYCROFT BLVD
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-2033
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Country | US
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Telephone | 716-512-9440
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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 | 022498
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License Number State | NY
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