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General NPI Number Information
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NPI Number | 1336884204
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Entity Type | Individual
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Provider Name | CHRISTINE BALLOU
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5601 DE SOTO AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6701
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 8335 WINNETKA AVE # 276
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City | WINNETKA
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State | CA
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Zip | 91306-1630
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Country | US
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Telephone | 818-571-2533
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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 |
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License Number State |
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