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General NPI Number Information
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NPI Number | 1184766883
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Entity Type | Individual
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Provider Name | CHRISTINE ANNE TAO PT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 6970 S HOLLY CIR STE 200
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City | CENTENNIAL
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State | CO
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Zip | 80112-1066
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Country | US
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Telephone | 720-287-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 9658 WESTBURY WAY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-6274
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Country | US
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Telephone | 808-221-0701
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 10716
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License Number State | CO
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