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General NPI Number Information
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NPI Number | 1124739636
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Entity Type | Individual
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Provider Name | CHRISTOPHER TRUDGEN RN
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Gender | Male
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 70 STEELHEAD RD
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City | FAIRBANKS
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State | AK
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Zip | 99709-3035
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Country | US
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Telephone | 907-750-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 1653 MARKET ST
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City | FAIRBANKS
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State | AK
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Zip | 99709-5120
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Country | US
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Telephone | 408-251-2433
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Fax | 877-620-9084
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 118274
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License Number State | AK
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