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General NPI Number Information
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NPI Number | 1871564765
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Entity Type | Individual
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Provider Name | CHRISTOPHER LATCHFORD OT
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 3735 NAZARETH HWY NORTHWOOD
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City | EASTON
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State | PA
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Zip | 18045-8338
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Country | US
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Telephone | 610-258-7094
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Fax | 610-258-6107
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Provider Business Mailing Address
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Address Line | 3735 NAZARETH HWY NORTHWOOD
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City | EASTON
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State | PA
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Zip | 18045-8338
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Country | US
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Telephone | 610-258-7094
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Fax | 610-258-6107
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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 | 002454
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License Number State | CT
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