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General NPI Number Information
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NPI Number | 1164877536
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Entity Type | Individual
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Provider Name | ANDREA MARIE CHRISTIAN D.P.T., P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 267 S. CHURTON STREET
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City | HILLSBOROUGH
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State | NC
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Zip | 27278
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Country | US
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Telephone | 919-643-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 924 WATERSTONE PARK CIRCLE
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City | HILLSBOROUGH
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State | NC
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Zip | 27278
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Country | US
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Telephone | 585-781-4499
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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 | 040093
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P16237
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License Number State | NC
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