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General NPI Number Information
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NPI Number | 1619754652
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Entity Type | Individual
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Provider Name | CHRISTOPHER JONATHAN BARTH NC LMBT 18645
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Gender | Male
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 6406 MCCRIMMON PKWY STE 210
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City | MORRISVILLE
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State | NC
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Zip | 27560-8145
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Country | US
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Telephone | 919-941-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 5125 COPPER RIDGE DR APT 104
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City | DURHAM
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State | NC
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Zip | 27707-5594
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Country | US
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Telephone | 919-590-5502
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18645
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License Number State | NC
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