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General NPI Number Information
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NPI Number | 1326310061
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Entity Type | Individual
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Provider Name | CHRISTA APRIL ROBERTS P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 400 NE MOTHER JOSEPH PL
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City | VANCOUVER
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State | WA
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Zip | 98664-3200
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Country | US
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Telephone | 360-256-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 710 PLEASANT DR
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City | MILLVILLE
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State | NJ
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Zip | 08332-4524
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Country | US
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Telephone | 609-214-4967
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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 | 60226777
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License Number State | WA
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