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General NPI Number Information
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NPI Number | 1093197741
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Entity Type | Individual
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Provider Name | CHRISTIAN A POTHERING M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1648 HAMILTON ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-5054
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Country | US
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Telephone | 484-503-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-503-8281
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD480286
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License Number State | PA
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