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General NPI Number Information
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NPI Number | 1346802899
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOE ROBERTSON DPT
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Gender | Male
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1075 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2248
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Country | US
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Telephone | 864-580-2001
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Fax | 864-580-2003
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Provider Business Mailing Address
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Address Line | 1330 BOILING SPRINGS RD STE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-4219
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Country | US
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Telephone | 803-732-5887
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Fax | 803-732-5997
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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 | 9752
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License Number State | SC
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