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General NPI Number Information
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NPI Number | 1467736892
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Entity Type | Individual
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Provider Name | WILLIAM FRANKLIN CHRISTEN LMT
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Gender | Male
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2015
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Provider Practice Location Address
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Address Line | 909 TIMBERWOOD DR
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City | PORT ORANGE
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State | FL
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Zip | 32127-4859
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Country | US
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Telephone | 386-843-3204
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Fax |
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Provider Business Mailing Address
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Address Line | 1444 BENT OAKS BLVD
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City | DELAND
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State | FL
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Zip | 32724-8062
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Country | US
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Telephone | 386-843-3204
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60225795
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA64236
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License Number State | FL
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