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General NPI Number Information
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NPI Number | 1093819021
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Entity Type | Organization
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Legal Business Name | ANTHONY J CHR ISTOFF D O
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 715 N CASCADE AVE
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City | COLORADO SPGS
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State | CO
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Zip | 80903-3289
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Country | US
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Telephone | 719-471-9891
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Fax | 719-471-4493
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Provider Business Mailing Address
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Address Line | 715 N CASCADE AVE
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City | COLORADO SPGS
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State | CO
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Zip | 80903-3289
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Country | US
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Telephone | 719-471-9891
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Fax | 719-471-4493
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Authorized Official
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Title or Position | PRESIDENT PHYSICIAN
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Name | ANTHONY JAMES CHRISTOFF
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Credential | D.O.
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Telephone | 719-471-9891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34580
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License Number State | CO
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