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General NPI Number Information
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NPI Number | 1912404419
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Entity Type | Individual
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Provider Name | CHRISTON ESLINGER PTA, CMT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 340 I ST
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City | LOS BANOS
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State | CA
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Zip | 93635-4143
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Country | US
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Telephone | 209-658-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 9545 STATE HIGHWAY 152
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City | DOS PALOS
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State | CA
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Zip | 93620-9755
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 75177
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8004
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License Number State | CA
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