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General NPI Number Information
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NPI Number | 1184585655
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Entity Type | Individual
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Provider Name | CHRISTIAN JOHN MOORE MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 17101 SNOWMOBILE LN
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City | EAGLE RIVER
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State | AK
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Zip | 99577-7043
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Country | US
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Telephone | 888-227-3312
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Fax | 907-212-8661
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4141
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City | PASADENA
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State | CA
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Zip | 91110-0001
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Country | US
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Telephone | 773-858-2096
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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 | 247432
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License Number State | AK
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