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General NPI Number Information
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NPI Number | 1528762218
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Entity Type | Organization
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Legal Business Name | APRIL D CHRISTOPHERSON OTR L LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 457 MAIN ST
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City | DELTA
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State | CO
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Zip | 81416-1816
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Country | US
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Telephone | 970-975-1362
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Fax | 970-639-4480
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Provider Business Mailing Address
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Address Line | 457 MAIN ST
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City | DELTA
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State | CO
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Zip | 81416-1816
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Country | US
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Telephone | 970-975-1362
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Fax | 970-639-4480
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Authorized Official
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Title or Position | ADMINISTRATIVE BILER
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Name | ABDULLAH IMITAZ
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Credential |
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Telephone | 347-983-0049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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