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General NPI Number Information
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NPI Number | 1184732075
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Entity Type | Individual
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Provider Name | CHRISTY MARIE KING MPT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1506 W SAINT JOSEPH ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1692
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Country | US
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Telephone | 573-517-7900
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Fax | 573-517-7969
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Provider Business Mailing Address
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Address Line | 1506 W. ST. JOESPH ST.
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City | PERRYVILLE
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State | MO
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Zip | 63775
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Country | US
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Telephone | 573-517-7900
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Fax | 573-517-7969
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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 | 2004033967
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License Number State | MO
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