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General NPI Number Information
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NPI Number | 1992840516
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Entity Type | Individual
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Provider Name | CHRISTOPHER PETER SMITH D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 365 BILL FRANCE BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1301
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Country | US
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Telephone | 386-323-5840
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Fax | 386-323-0696
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Provider Business Mailing Address
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Address Line | 778 JIMMY ANN DR APT. 1514
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-7408
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Country | US
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Telephone | 504-343-5827
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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 | 23160
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License Number State | FL
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