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General NPI Number Information
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NPI Number | 1013565043
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Entity Type | Individual
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Provider Name | CHRISTOPHER DEMEYER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 1340 ENCINITAS BLVD UNIT 100
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City | ENCINITAS
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State | CA
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Zip | 92024-2844
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Country | US
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Telephone | 760-942-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 3541 WILCOX ST
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City | SAN DIEGO
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State | CA
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Zip | 92106-2854
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Country | US
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Telephone | 619-316-4219
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS104288
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License Number State | CA
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