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General NPI Number Information
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NPI Number | 1194913566
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN WEST D.M.D, M.B.A., M.S.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1851 W. INDIANTOWN RD. SUITE 201
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City | JUPITER
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State | FL
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Zip | 33458-2842
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Country | US
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Telephone | 561-744-5456
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Fax |
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Provider Business Mailing Address
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Address Line | 1851 W. INDIANTOWN RD. SUITE 201
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City | JUPITER
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State | FL
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Zip | 33458-2842
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Country | US
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Telephone | 561-744-5456
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN 17309
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License Number State | FL
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