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General NPI Number Information
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NPI Number | 1194089383
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Entity Type | Individual
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Provider Name | CHRISTOPHER SCOTT WITT DPM
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Gender | Male
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 5531 VIRGINIA PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75071-5557
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Country | US
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Telephone | 972-542-2155
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Fax |
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Provider Business Mailing Address
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Address Line | 5531 VIRGINIA PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75071-5557
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Country | US
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Telephone | 972-542-2155
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135000781
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 642
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2259
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License Number State | TX
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