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General NPI Number Information
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NPI Number | 1982636635
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Entity Type | Organization
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Legal Business Name | CHRISTINE L SPRYER
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 2615 PACIFIC COAST HWY STE 321
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-2227
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Country | US
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Telephone | 310-798-6310
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Fax | 310-798-6312
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Provider Business Mailing Address
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Address Line | 2615 PACIFIC COAST HWY STE 321
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-2227
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Country | US
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Telephone | 310-798-6310
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Fax | 310-798-6312
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE L. SPRYER
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Credential | P.T.
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Telephone | 310-798-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT8740
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License Number State | CA
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