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NPI 1366069619

NPI 1366069619 : CHRISTINE MARIE HENDRON PT, DPT : WEST CHESTER, OH

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General NPI Number Information
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    NPI Number           |    1366069619
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE MARIE HENDRON PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2020
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    Last Update Date     |    09/14/2022
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Provider Practice Location Address
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    Address Line         |    8734 UNION CENTRE BLVD 
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    City                 |    WEST CHESTER
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    State                |    OH
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    Zip                  |    45069-4876
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    Country              |    US
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    Telephone            |    513-232-2663
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    Fax                  |    859-817-7848
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Provider Business Mailing Address
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    Address Line         |    561 TUSCANY VALLEY CT APT 1 
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    City                 |    CRESTVIEW HILLS
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    State                |    KY
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    Zip                  |    41017-5417
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    Country              |    US
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    Telephone            |    219-476-6464
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    Fax                  |    859-817-7848
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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       |    CP011330T
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    License Number State |    OH
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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       |    007961
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    License Number State |    KY
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