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General NPI Number Information
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NPI Number | 1548509367
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Entity Type | Individual
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Provider Name | CHRISTINE MILES ESPY PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 4941 MONTEVALLO RD
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City | IRONDALE
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State | AL
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Zip | 35210-2418
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Country | US
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Telephone | 205-314-4266
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Fax | 205-951-6773
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Provider Business Mailing Address
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Address Line | 4941 MONTEVALLO RD
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City | IRONDALE
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State | AL
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Zip | 35210-2418
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Country | US
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Telephone | 205-314-4266
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Fax | 205-951-6773
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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 | PTH3016
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PTH3016
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License Number State | AL
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