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General NPI Number Information
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NPI Number | 1063519874
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Entity Type | Individual
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Provider Name | CHRISTOPHER GARNER PA
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 1530 E REPUBLIC RD
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6530
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Country | US
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Telephone | 417-269-1362
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Fax | 417-269-1372
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Provider Business Mailing Address
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Address Line | 3800 S NATIONAL AVE #540
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5209
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Country | US
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Telephone | 417-269-5712
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Fax | 417-269-4869
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2004014084
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License Number State | MO
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