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General NPI Number Information
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NPI Number | 1962095703
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL PERRY DPT
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Gender | Male
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 2400 MARYLAND RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1700
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 90 PROVIDENCE DR
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City | RICHBORO
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State | PA
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Zip | 18954-1660
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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 | PT029260
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License Number State | PA
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