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General NPI Number Information
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NPI Number | 1083924419
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Entity Type | Individual
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Provider Name | JENNIFER MARIE CHRISTMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 1098 ALDER AVE
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City | MARYSVILLE
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State | WA
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Zip | 98270-4318
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Country | US
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Telephone | 360-659-6255
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Fax |
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Provider Business Mailing Address
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Address Line | 860 WESTPOINT DRIVE
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City | KELOWNA
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State | BC
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Zip | V1W 2Z4
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Country | CA
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Telephone | 714-612-1725
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD60172850
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License Number State | WA
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