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General NPI Number Information
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NPI Number | 1508892142
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Entity Type | Individual
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Provider Name | CHRISTOPHER A DILDINE PT
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 PEASANT VILLAGE LN SUITE 103
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City | BELLE VERNON
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State | PA
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Zip | 15012-4333
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Country | US
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Telephone | 724-929-5866
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 372
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City | MADISON
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State | PA
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Zip | 15663-0372
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017030
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License Number State | PA
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