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General NPI Number Information
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NPI Number | 1316062912
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Entity Type | Individual
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Provider Name | CHRISTY DEESE PT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 5920 GRELOT RD STE 2
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City | MOBILE
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State | AL
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Zip | 36609-3606
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Country | US
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Telephone | 251-342-9008
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Fax | 251-342-2060
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Provider Business Mailing Address
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Address Line | 2079 SEACLIFF DR N
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City | DAPHNE
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State | AL
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Zip | 36526-7137
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Country | US
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Telephone | 251-209-5010
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Fax | 251-342-2060
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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 | 23028
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1090553
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License Number State | TX
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