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General NPI Number Information
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NPI Number | 1093891046
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Entity Type | Individual
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Provider Name | DEAN M CHRISTENSEN R.PH
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | N2665 COUNTY RD QQ
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City | KING
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State | WI
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Zip | 54946-0600
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Country | US
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Telephone | 715-258-1674
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Fax | 715-258-3327
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Provider Business Mailing Address
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Address Line | 1430 APRICOT ST
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-3045
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Country | US
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Telephone | 715-423-9751
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Fax | 715-258-1674
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10615 040
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License Number State | WI
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