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General NPI Number Information
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NPI Number | 1194064261
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER E. PETTET, D.C. P.A.
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 2564 SUNSET POINT RD
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City | CLEARWATER
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State | FL
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Zip | 33765-1500
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Country | US
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Telephone | 727-796-8456
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Fax | 727-797-3435
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Provider Business Mailing Address
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Address Line | 2564 SUNSET POINT RD
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City | CLEARWATER
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State | FL
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Zip | 33765-1500
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Country | US
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Telephone | 727-796-8456
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Fax | 727-797-3435
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER EDWIN PETTET
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Credential | D.C.
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Telephone | 727-796-8456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH7210
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License Number State | FL
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