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General NPI Number Information
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NPI Number | 1477610947
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN DAUBLE MSPT
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8E BLUEHILL COMMONS
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City | ORANGEBURG
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State | NY
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Zip | 10962
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Country | US
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Telephone | 201-207-4272
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Fax | 201-818-1282
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Provider Business Mailing Address
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Address Line | 8E BLUE HILL COMMONS
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City | ORANGEBURG
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State | NY
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Zip | 10962-2131
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Country | US
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Telephone | 201-201-4272
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Fax | 201-818-1282
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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 | 40QA01100000
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License Number State | NJ
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