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General NPI Number Information
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NPI Number | 1174161533
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Entity Type | Individual
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Provider Name | CHRISTINA MAY EIDI DPT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 10200 OLD COLUMBIA RD STE C
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City | COLUMBIA
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State | MD
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Zip | 21046-2364
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Country | US
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Telephone | 410-290-4480
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 OLD COLUMBIA RD STE C
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City | COLUMBIA
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State | MD
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Zip | 21046-2364
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Country | US
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Telephone | 410-290-4480
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Fax | 855-300-3999
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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 | 18728
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT872565
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT872565
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27749
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License Number State | MD
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