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General NPI Number Information
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NPI Number | 1194720250
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Entity Type | Individual
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Provider Name | ALAN L CHRISTENSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 3100 TONGASS AVE
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City | KETCHIKAN
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State | AK
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Zip | 99901-5746
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Country | US
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Telephone | 907-228-7688
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Fax | 907-228-8468
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT 358
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City | VANCOUVER
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State | WA
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Zip | 98683-8004
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Country | US
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Telephone | 907-228-7688
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Fax | 907-228-8468
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 172326-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13746
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 41260
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License Number State | KY
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