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General NPI Number Information
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NPI Number | 1700851292
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Entity Type | Individual
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Provider Name | CHRISTOPHER C. PRATT D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 1651 W ROSEDALE SUITE 205
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City | FORT WORTH
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State | TX
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Zip | 76104-7437
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Country | US
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Telephone | 817-332-9966
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Fax | 817-332-9977
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Provider Business Mailing Address
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Address Line | PO BOX 961205
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City | FORT WORTH
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State | TX
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Zip | 76161-1205
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Country | US
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Telephone | 817-740-8400
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Fax | 817-332-9977
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | K5670
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K5670
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | K5670
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License Number State | TX
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