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1235519018 NPI number — PATRICK D. CHRISTENSEN D.M.D.

NPI Number: 1235519018
Health Care Provider/Practitioner: PATRICK D. CHRISTENSEN D.M.D.

Information about “1235519018” NPI (PATRICK D. CHRISTENSEN D.M.D.) exists in 1235519018 in HTML format HTML  |  1235519018 in plain Text format TXT  |  1235519018 in PDF (Portable Document Format) PDF  |  1235519018 in an XML format XML  formats.

NPI Number : 1235519018 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235519018",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHRISTENSEN",
    "FirstName": "PATRICK",
    "MiddleName": "D.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHRISTENEN",
    "OtherFirstName": "PATRICK",
    "OtherMiddleName": "D.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2120 W GUADALUPE RD STE 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MESA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85202-7366",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-839-0985",
    "MailingAddressFaxNumber": "480-730-8631",
    "FirstLinePracticeLocationAddress": "2120 W GUADALUPE RD STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MESA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85202-7366",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-839-0985",
    "PracticeLocationAddressFaxNumber": "480-730-8631",
    "EnumerationDate": "06/05/2015",
    "LastUpdateDate": "06/05/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D009232",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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