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General NPI Number Information
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NPI Number | 1346112505
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Entity Type | Individual
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Provider Name | CHRISTOPHER NAOTO BORN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3718 GRAND AVE STE 15
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City | OAKLAND
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State | CA
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Zip | 94610-1544
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Country | US
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Telephone | 510-893-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 2708 BENVENUE AVE
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City | BERKELEY
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State | CA
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Zip | 94705-1202
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Country | US
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Telephone |
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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 | 308960
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License Number State | CA
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