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General NPI Number Information
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NPI Number | 1811347339
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Entity Type | Individual
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Provider Name | CHRISTOPHER RAYMOND RENFROW PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 3701 BROADWAY 2ND FLOOR REHABILITATION
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City | OAKLAND
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State | CA
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Zip | 94611-5613
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Country | US
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Telephone | 509-607-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 RICHMOND BLVD APT 406
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City | OAKLAND
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State | CA
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Zip | 94611-5876
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Country | US
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Telephone | 509-607-1739
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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 | PTL.0014080
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 291558
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License Number State | CA
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