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General NPI Number Information
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NPI Number | 1114704145
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Entity Type | Individual
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Provider Name | CHRISTOPHER ANTHONY ROSS FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 7543 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6406
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Country | US
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Telephone | 323-988-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 717 W OLYMPIC BLVD APT 1704
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City | LOS ANGELES
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State | CA
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Zip | 90015-1679
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Country | US
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Telephone | 210-577-6226
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2030757
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License Number State | CA
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