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General NPI Number Information
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NPI Number | 1245288307
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Entity Type | Individual
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Provider Name | CHRISTOPHER DEAN IMBER M. D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1307 AVON ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4423
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Country | US
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Telephone | 910-323-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 436 CLAIRMONT CT STE 105
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1765
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Country | US
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Telephone | 804-504-4671
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Fax | 804-765-6490
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101251776
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2016-02508
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License Number State | NC
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