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General NPI Number Information
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NPI Number | 1184080939
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Entity Type | Individual
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Provider Name | CHRISTOPHER NELSON PT, DPT, OCS, SCS
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Gender | Male
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Dates
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Enumeration Date | 01/09/2016
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE STE 960
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4315
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Country | US
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Telephone | 301-986-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE STE 960
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4315
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Country | US
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Telephone |
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT871990
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 2305214837
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 27469
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License Number State | MD
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