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General NPI Number Information
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NPI Number | 1265868889
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Entity Type | Individual
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Provider Name | JAMIE MARIE CHRISTY
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 1021 BANDANA BLVD E STE 123
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City | SAINT PAUL
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State | MN
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Zip | 55108-5128
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Country | US
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Telephone | 651-241-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 4641 2 1/2 ST NE
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City | FRIDLEY
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State | MN
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Zip | 55421-2115
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Country | US
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Telephone | 507-269-0768
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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