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General NPI Number Information
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NPI Number | 1982321915
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Entity Type | Individual
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Provider Name | CHRISTINA LONGJOHN PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 351 CAMP MEETING ROAD
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City | SEWICKLEY
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State | PA
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Zip | 15143-8348
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Country | US
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Telephone | 412-741-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BUEHNER DR
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City | PITTSBURGH
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State | PA
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Zip | 15237-2933
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Country | US
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Telephone | 412-638-2601
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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 | PT030686
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License Number State | PA
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