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General NPI Number Information
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NPI Number | 1306441811
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES WYSOCKI AGACNP
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Gender | Male
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 485 S DOBSON RD STE 100
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City | CHANDLER
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State | AZ
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Zip | 85224-5603
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Country | US
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Telephone | 602-406-4000
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Fax | 602-406-6498
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Provider Business Mailing Address
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Address Line | 500 W THOMAS RD STE 500
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City | PHOENIX
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State | AZ
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Zip | 85013-4220
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Country | US
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Telephone | 602-406-4000
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Fax | 602-406-6498
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 280639
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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 | RN187730
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License Number State | AZ
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