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General NPI Number Information
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NPI Number | 1356464796
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Entity Type | Organization
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Legal Business Name | KRISTI AYARS
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1263 ESPLANADE # A
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City | CHICO
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State | CA
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Zip | 95926-3328
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Country | US
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Telephone | 530-520-3792
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Fax |
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Provider Business Mailing Address
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Address Line | 1263 ESPLANADE # A
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City | CHICO
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State | CA
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Zip | 95926-3328
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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 | OWNER
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Name | KRISTI AYARS
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Credential | PT, DPT
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Telephone | 530-520-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP84640
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT23905
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License Number State | CA
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