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General NPI Number Information
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NPI Number | 1174796759
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Entity Type | Organization
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Legal Business Name | CHRIS FANALE, P.C.
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 5270 S ESTES WAY
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City | LITTLETON
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State | CO
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Zip | 80123-7304
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Country | US
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Telephone | 303-328-7180
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Fax |
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Provider Business Mailing Address
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Address Line | 5270 S ESTES WAY
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City | LITTLETON
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State | CO
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Zip | 80123-7304
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Country | US
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Telephone | 303-328-7180
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Fax |
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | MR. CHRISTOPHER VINCENT FANALE
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Credential | MD
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Telephone | 303-328-7180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 43448
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License Number State | CO
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