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General NPI Number Information
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NPI Number | 1720018096
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Entity Type | Individual
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Provider Name | CHRISTOPHER BRETT FRANK PT
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2300 JENKS AVE SUITE C
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City | LYNN HAVEN
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State | FL
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Zip | 32444-4798
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Country | US
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Telephone | 850-248-1600
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Fax | 850-248-1602
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Provider Business Mailing Address
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Address Line | 2300 JENKS AVE SUITE C
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City | LYNN HAVEN
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State | FL
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Zip | 32444-4798
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Country | US
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Telephone | 850-248-1600
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Fax | 850-248-1602
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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 | PT21070
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License Number State | FL
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