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General NPI Number Information
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NPI Number | 1922761626
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Entity Type | Organization
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Legal Business Name | CHRIS FAULDS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 317 E GARFIELD RD
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City | AURORA
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State | OH
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Zip | 44202-9357
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 114 E WASHINGTON ST
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-2919
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Country | US
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Telephone | 440-773-8423
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER ROBIN FAULDS
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Credential | PT
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Telephone | 440-773-7159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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