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General NPI Number Information
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NPI Number | 1699797019
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Entity Type | Individual
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Provider Name | CHRISTINA LYNNETTE PAIGE D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5000 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53295-0001
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Country | US
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Telephone | 414-384-2000
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Fax | 414-382-5395
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Provider Business Mailing Address
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Address Line | 2537 N GRANT BLVD
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City | MILWAUKEE
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State | WI
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Zip | 53210-2943
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Country | US
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Telephone | 414-444-9306
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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 | 2305203836
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10610
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License Number State | WI
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