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General NPI Number Information
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NPI Number | 1093844920
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Entity Type | Individual
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Provider Name | CHRISTOPHER M WEST D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 67 LAFAYETTE ST
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City | NORWICH
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State | CT
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Zip | 06360-3407
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Country | US
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Telephone | 860-889-5213
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Fax |
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Provider Business Mailing Address
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Address Line | 17 LAUREL AVE
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City | WESTERLY
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State | RI
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Zip | 02891-1008
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9345
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License Number State | CT
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