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General NPI Number Information
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NPI Number | 1154714871
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Entity Type | Individual
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Provider Name | CHRISTOPHER CONLEY
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Gender | Male
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 1023 BUCK HOLLOW RD
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City | BEAVER
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State | OH
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Zip | 45613-9704
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Country | US
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Telephone | 740-941-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 BUCK HOLLOW RD
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City | BEAVER
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State | OH
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Zip | 45613-9704
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Country | US
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Telephone | 740-941-8200
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2103190
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 04602
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502004287
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 11138A
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License Number State | AZ
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