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General NPI Number Information
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NPI Number | 1790391019
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOUIS PALLADINO DPT
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Gender | Male
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 444 MERRICK RD
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City | LYNBROOK
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State | NY
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Zip | 11563-2460
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Country | US
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Telephone | 516-536-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 HUCKLEBERRY RD
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1918
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Country | US
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Telephone | 516-650-2814
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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 | 046383
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License Number State | NY
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