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General NPI Number Information
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NPI Number | 1891527248
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Entity Type | Individual
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Provider Name | JENNA LAUREN CHRISTENSEN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 420 BAINBRIDGE ST STE 1
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1568
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Country | US
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Telephone | 215-413-0633
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Fax |
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Provider Business Mailing Address
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Address Line | 325 N FRONT ST UNIT A
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City | PHILADELPHIA
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State | PA
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Zip | 19106-1410
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Country | US
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Telephone | 585-857-3033
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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 | PT032466
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License Number State | PA
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