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General NPI Number Information
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NPI Number | 1801932926
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Entity Type | Individual
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Provider Name | CHRISTINA FONS OTR.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 1904 E HUEBBE PKWY
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City | BELOIT
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State | WI
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Zip | 53511-1843
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Country | US
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Telephone | 608-931-2550
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Fax | 608-541-2104
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Provider Business Mailing Address
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Address Line | 2737 PRAIRIE AVE
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City | BELOIT
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State | WI
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Zip | 53511-2246
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Country | US
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Telephone | 608-299-8181
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Fax | 608-299-8281
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 977-026
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License Number State | WI
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