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Individual
CHRISTIAN ROBERTS BEEN
Active
Individual
CHRISTIAN ROBERTS BEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, BOCO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C51530
NULL
224P00000X
Prosthetist
Primary
CP03333
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51530
THE BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
—
01
—
CP03333
AMERICAN BOARD OF CERTIFICATION
—
01
—
PO000074
STATE LICENSE
PA
Enumeration date
05/30/2017
Last updated
08/01/2018
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