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General NPI Number Information
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NPI Number | 1710434618
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Entity Type | Individual
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Provider Name | CHRISTINE BAUDOUIN EWING DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 3867 ROSWELL RD NE STE 305
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City | ATLANTA
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State | GA
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Zip | 30342-4451
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Country | US
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Telephone | 678-631-7925
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Fax | 470-401-2535
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Provider Business Mailing Address
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Address Line | 2999 SAINT ANNES LN NW
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City | ATLANTA
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State | GA
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Zip | 30327-1635
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Country | US
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Telephone | 504-913-1287
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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 |
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License Number State |
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