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General NPI Number Information
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NPI Number | 1831432376
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Entity Type | Organization
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Legal Business Name | PHILIP W CHRIST DO PA
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 13787 BELCHER RD S SUITE 330
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City | LARGO
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State | FL
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Zip | 33771-4065
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Country | US
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Telephone | 727-535-9393
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Fax | 727-585-7020
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Provider Business Mailing Address
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Address Line | 13787 BELCHER RD S SUITE 330
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City | LARGO
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State | FL
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Zip | 33771-4065
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Country | US
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Telephone | 727-535-9393
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Fax | 727-585-7020
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP W CHRIST
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Credential | DO
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Telephone | 727-535-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS4574
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License Number State | FL
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