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General NPI Number Information
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NPI Number | 1871707620
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT NEPHEW PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 13106 SE 240TH ST SUITE, 10
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City | KENT
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State | WA
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Zip | 98031-9210
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Country | US
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Telephone | 956-206-1057
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Fax |
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Provider Business Mailing Address
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Address Line | 13106 SE 240TH ST SUITE, 10
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City | KENT
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State | WA
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Zip | 98031-9210
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Country | US
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Telephone | 956-206-1057
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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 | 1145852
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License Number State | TX
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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 | PT 60111917
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License Number State | WA
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