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General NPI Number Information
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NPI Number | 1356978787
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Entity Type | Organization
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Legal Business Name | CHRISTRUN, INC
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 16806 HIDDEN TIMBER WOOD
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City | SAN ANTONIO
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State | TX
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Zip | 78248-1427
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Country | US
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Telephone | 210-273-0508
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Fax | 210-817-8714
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Provider Business Mailing Address
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Address Line | 5351 BREWSTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78233-5723
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Country | US
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Telephone | 210-273-0508
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Fax | 210-817-8714
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | HOLLY RAE HERNANDEZ
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Credential | PT, DPT
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Telephone | 210-273-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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