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General NPI Number Information
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NPI Number | 1932150570
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Entity Type | Organization
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Legal Business Name | CHRIS PRATT DO PA
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 7800 OAKMONT BLVD SUITE 400
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City | FORT WORTH
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State | TX
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Zip | 76132-4203
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Country | US
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Telephone | 817-423-6582
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Fax | 817-423-3941
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Provider Business Mailing Address
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Address Line | PO BOX 33497
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City | FORT WORTH
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State | TX
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Zip | 76162-3497
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Country | US
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Telephone | 817-423-3936
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Fax | 817-423-3941
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS PRATT
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Credential | DO
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Telephone | 817-423-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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