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General NPI Number Information
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NPI Number | 1497822639
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Entity Type | Individual
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Provider Name | CHRISTOPHER DIPASQUALE PT, OSC, SCS, CHT
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 171 NORWICH AVE
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City | COLCHESTER
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State | CT
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Zip | 06415-1274
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Country | US
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Telephone | 860-537-3014
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Fax | 860-537-1420
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Provider Business Mailing Address
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Address Line | 171 NORWICH AVE
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City | COLCHESTER
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State | CT
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Zip | 06415-1274
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Country | US
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Telephone | 860-537-3014
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Fax | 860-537-1420
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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 | 3221
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | 3221
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 3221
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | 3221
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 3221
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3221
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License Number State | CT
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