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General NPI Number Information
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NPI Number | 1831414689
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Entity Type | Individual
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Provider Name | CHRISTOPHER BURTON LOVEJOY D.P.T
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 235 E MAIN ST STE 104
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City | NORTHVILLE
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State | MI
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Zip | 48167-2498
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Country | US
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Telephone | 419-349-5050
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Fax | 419-349-7575
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Provider Business Mailing Address
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Address Line | 1814 LEXINGTON DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-5417
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Country | US
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Telephone |
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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 | PT .012590
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License Number State | OH
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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 | 5972
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8823
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License Number State | AZ
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