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General NPI Number Information
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NPI Number | 1720149024
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Entity Type | Individual
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Provider Name | CHRISTINE MICHELLE BRAGA MS PT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 50 OLIVER ST SUITE W-2B
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City | NORTH EASTON
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State | MA
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Zip | 02356-1446
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Country | US
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Telephone | 508-682-0186
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Fax | 508-682-0192
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Provider Business Mailing Address
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Address Line | 7 PARKVIEW CIR
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City | NORTH EASTON
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State | MA
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Zip | 02356-2143
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Country | US
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Telephone | 774-218-8169
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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 | 13127
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License Number State | MA
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