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General NPI Number Information
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NPI Number | 1578600896
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Entity Type | Individual
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Provider Name | CHRISTOPHER CHIAVAROLI P.T.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 19510 KUYKENDAHL RD STE A
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City | SPRING
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State | TX
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Zip | 77379-3481
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Country | US
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Telephone | 281-651-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 16010 BIRCHVIEW DR
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City | TOMBALL
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State | TX
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Zip | 77377-8506
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Country | US
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Telephone | 832-865-8086
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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 | 1125243
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License Number State | TX
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