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General NPI Number Information
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NPI Number | 1356997365
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Entity Type | Individual
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Provider Name | CHRISTOPHER VILLAROSA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 13930 NE 178TH PL STE 112
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City | WOODINVILLE
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State | WA
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Zip | 98072-3571
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Country | US
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Telephone | 425-939-2194
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Fax | 425-318-1102
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Provider Business Mailing Address
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Address Line | 1300 W SAM HOUSTON PKWY S STE 300
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City | HOUSTON
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State | TX
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Zip | 77042-2453
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Country | US
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Telephone | 713-297-7059
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Fax | 713-430-4046
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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 | PT60992233
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License Number State | WA
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