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General NPI Number Information
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NPI Number | 1932903218
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Entity Type | Individual
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Provider Name | CHRISTINA CAIN PTA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 600 1/2 CLIFTY ST STE 2&3
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City | SOMERSET
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State | KY
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Zip | 42503-1733
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Country | US
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Telephone | 606-679-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 2559 N HIGHWAY 1247
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City | SOMERSET
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State | KY
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Zip | 42503-4603
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Country | US
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Telephone | 606-383-1013
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A02741
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License Number State | KY
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