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General NPI Number Information
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NPI Number | 1043648322
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Entity Type | Organization
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Legal Business Name | J CHRISTOPHER MATCHISON, MD INC.
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 2841 LOMITA BLVD STE 235
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City | TORRANCE
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State | CA
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Zip | 90505-5111
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Country | US
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Telephone | 310-517-8950
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Fax | 310-326-6080
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Provider Business Mailing Address
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Address Line | 2841 LOMITA BLVD STE 235
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City | TORRANCE
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State | CA
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Zip | 90505-5111
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Country | US
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Telephone | 310-517-8950
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Fax | 310-326-6080
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | CATHERINE CHOI
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Credential |
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Telephone | 310-517-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97926
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A97926
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License Number State | CA
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