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General NPI Number Information
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NPI Number | 1174818058
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Entity Type | Individual
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Provider Name | GEORGE P CHRISTOPHI MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2011
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1133 SEMINOLE DR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2836
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Country | US
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Telephone | 321-637-2345
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Fax | 321-637-2349
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Provider Business Mailing Address
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Address Line | 1133 SEMINOLE DR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2836
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Country | US
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Telephone | 321-637-2345
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Fax | 321-637-2349
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2013002768
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME138087
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License Number State | FL
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