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General NPI Number Information
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NPI Number | 1295275568
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Entity Type | Individual
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Provider Name | CHRISTOPHER WELSH FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 1840 E WARNER RD STE 120
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City | TEMPE
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State | AZ
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Zip | 85284-3445
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Country | US
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Telephone | 480-848-5411
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Fax |
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Provider Business Mailing Address
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Address Line | 860 W MOUNTAIN VIEW DR
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City | MESA
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State | AZ
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Zip | 85201-3125
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP10335
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN184359
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License Number State | AZ
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