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General NPI Number Information
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NPI Number | 1962454785
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Entity Type | Individual
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Provider Name | CHRISTINE ANNE LARGEY PT, CERT.MDT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 WHITE RD SUITE 104
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1165
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Country | US
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Telephone | 732-977-4640
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Fax | 732-483-1055
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Provider Business Mailing Address
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Address Line | 4 ZOCCO LN
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City | OCEANPORT
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State | NJ
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Zip | 07757-1578
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Country | US
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Telephone | 732-483-9292
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Fax | 732-483-1055
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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 | 40QA00570600
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License Number State | NJ
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