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NPI 1306402227

NPI 1306402227 : CHRISTOPHER STEVEN JONES PT : OSWEGO, NY

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General NPI Number Information
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    NPI Number           |    1306402227
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER STEVEN JONES PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/16/2019
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    Last Update Date     |    05/16/2019
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Provider Practice Location Address
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    Address Line         |    159 W 1ST ST 
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    City                 |    OSWEGO
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    State                |    NY
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    Zip                  |    13126-2045
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    Country              |    US
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    Telephone            |    315-342-9575
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2450 COUNTY ROAD 28 APT 9C 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-8068
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    Country              |    US
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    Telephone            |    607-793-0951
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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       |    040588
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    License Number State |    NY
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