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General NPI Number Information
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NPI Number | 1336768019
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Entity Type | Individual
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Provider Name | CHRISTA CELINE KARR PTA
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 2999 NEW CENTER PT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-2806
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Country | US
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Telephone | 719-365-5842
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Fax | 719-365-6878
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Provider Business Mailing Address
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Address Line | 4780 W OLD FARM CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-1028
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Country | US
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Telephone | 719-432-7218
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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 | 0012274
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License Number State | CO
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