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General NPI Number Information
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NPI Number | 1306336243
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Entity Type | Individual
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Provider Name | CHRISTI OROZCO
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 600 2ND AVE
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City | NEW GLARUS
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State | WI
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Zip | 53574-9776
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Country | US
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Telephone | 608-527-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 26464 MEADOWBROOK LN
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-4035
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Country | US
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Telephone | 608-604-2212
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 089016
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2635-19
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License Number State | WI
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