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General NPI Number Information
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NPI Number | 1316276140
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Entity Type | Individual
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Provider Name | JOHN CHRISTIAN UMHAU MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 200 WEST HOSPITAL DR
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City | WHITERIVER
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State | AZ
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Zip | 85941
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Country | US
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Telephone | 928-338-3555
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Fax | 928-338-5508
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Provider Business Mailing Address
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Address Line | 200 WEST HOSPITAL DRIVE
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City | WHITERIVER
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State | AZ
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Zip | 85941-0860
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Country | US
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Telephone | 928-338-3555
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Fax | 928-338-5508
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | D28090
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License Number State | MD
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