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General NPI Number Information
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NPI Number | 1720633696
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Entity Type | Individual
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Provider Name | ANDREW CHRISTOPHER ROY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 3611 NM 528 NW STE 101
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-8920
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Country | US
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Telephone | 505-217-2826
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Fax | 505-234-7431
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 630-296-2222
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Fax | 630-759-9510
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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 | PT5544
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License Number State | NM
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