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NPI 1568142511

NPI 1568142511 : CHRISTOPHER J DUMOND PTA : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1568142511
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER J DUMOND PTA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/24/2023
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    Last Update Date     |    06/07/2024
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Provider Practice Location Address
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    Address Line         |    2000 CLIFFMINE RD STE 110 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15275-1008
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    Country              |    US
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    Telephone            |    412-494-4550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    155 ROLLING HILLS RD 
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    City                 |    RUFFS DALE
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    State                |    PA
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    Zip                  |    15679-1189
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    Country              |    US
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    Telephone            |    724-757-0655
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    PTA.5277
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    TE013444
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    License Number State |    PA
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