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General NPI Number Information
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NPI Number | 1093280026
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Entity Type | Individual
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Provider Name | CHRISTOPHER LANDIS PNP-AC
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Gender | Male
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 2055 N HIGH ST STE 370
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City | DENVER
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State | CO
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Zip | 80205-5545
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Country | US
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Telephone | 303-839-6001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 994233
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN.0994233-NP
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License Number State | CO
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