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General NPI Number Information
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NPI Number | 1558753210
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Entity Type | Individual
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Provider Name | CHRISTINA DURROUGH
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Gender | Female
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 1215 21ST AVE S STE 9211
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City | NASHVILLE
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State | TN
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Zip | 37232-0014
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Country | US
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Telephone | 615-936-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 347 WAUFORD DR
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City | NASHVILLE
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State | TN
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Zip | 37211-4441
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Country | US
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Telephone | 513-479-7858
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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 | 9382
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License Number State | TN
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