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General NPI Number Information
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NPI Number | 1093946758
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER P. FENDER, MD, PLLC
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 1126 N CHURCH ST SUITE 101
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City | GREENSBORO
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State | NC
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Zip | 27401-1000
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Country | US
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Telephone | 336-275-0919
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Fax | 336-275-4849
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Provider Business Mailing Address
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Address Line | 1126 N CHURCH ST SUITE 101
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City | GREENSBORO
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State | NC
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Zip | 27401-1000
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Country | US
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Telephone | 336-275-0919
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Fax | 336-275-4849
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER PELL FENDER
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Credential | MD
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Telephone | 336-275-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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