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General NPI Number Information
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NPI Number | 1164351045
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Entity Type | Individual
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Provider Name | CHRISTIAN GOMEZ DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 2443 OLD RUSSELLVILLE PIKE
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5833
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Country | US
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Telephone | 931-229-0023
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 BLACK OAK CIR
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City | CLARKSVILLE
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State | TN
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Zip | 37042-1551
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Country | US
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Telephone | 731-333-9295
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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 | 17176
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License Number State |
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