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General NPI Number Information
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NPI Number | 1275724189
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Entity Type | Individual
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Provider Name | JOSEPH D CHRISTENSEN DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 36 S 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2835
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Country | US
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Telephone | 801-822-9876
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Fax |
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Provider Business Mailing Address
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Address Line | 603 W CRENSHAW CT
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-6434
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Country | US
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Telephone | 801-367-0640
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 5134480-9921
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License Number State | UT
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