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General NPI Number Information
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NPI Number | 1215909452
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Entity Type | Individual
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Provider Name | CHRISTOPHER D LOTUFO DPM
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 501 SE 172ND AVE STE 140
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City | VANCOUVER
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State | WA
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Zip | 98684-9542
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Country | US
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Telephone | 360-882-2778
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Fax | 360-604-1697
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Provider Business Mailing Address
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Address Line | 700 NE 87TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-1913
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Country | US
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Telephone | 360-882-2778
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Fax | 360-604-1771
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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 | POD001055
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License Number State | GA
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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 | PO60442614
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License Number State | WA
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