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General NPI Number Information
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NPI Number | 1477069961
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER MANAGEMENT, INC.
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 320 FORTENBERRY RD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3621
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Country | US
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Telephone | 321-452-7644
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Fax | 866-231-5772
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Provider Business Mailing Address
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Address Line | 320 FORTENBERRY RD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3621
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Country | US
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Telephone | 321-452-7644
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Fax | 866-231-5772
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBIN ESPINET
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Credential |
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Telephone | 321-452-7644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11392
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License Number State | FL
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