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General NPI Number Information
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NPI Number | 1942920178
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Entity Type | Individual
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Provider Name | CHRISTIAN EVANS DPT
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Gender | Male
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 5 PINE CONE RD STE 100
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City | DAYTON
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State | NV
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Zip | 89403-6309
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Country | US
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Telephone | 775-246-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5038
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020188
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP022870T
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP025698T
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License Number State | TX
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