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General NPI Number Information
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NPI Number | 1104872837
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Entity Type | Individual
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Provider Name | CHRISTOPHER R SIDDEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 40 POLLY DRUMMOND HILL RD BLDG 4
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City | NEWARK
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State | DE
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Zip | 19711-5703
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Country | US
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Telephone | 585-218-8012
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Fax | 585-218-8099
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Provider Business Mailing Address
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Address Line | 3620 PELHAM RD # 149
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City | GREENVILLE
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State | SC
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Zip | 29615-5044
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101244741
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C141328
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License Number State | CA
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