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General NPI Number Information
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NPI Number | 1356305569
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Entity Type | Individual
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Provider Name | JAMES M. CHRISTIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 875 UNION AVENUE THE UNIVERSITY OF TENNESSEE
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City | MEMPHIS
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State | TN
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Zip | 38133-3513
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Country | US
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Telephone | 901-448-6236
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Fax | 901-448-5480
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Provider Business Mailing Address
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Address Line | 875 UNION AVENUE THE UNIVERSITY OF TENNESSEE
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City | MEMPHIS
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State | TN
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Zip | 38133-3513
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Country | US
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Telephone | 901-448-6236
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Fax | 901-448-5480
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 30021966
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 14057
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS0000009088
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License Number State | TN
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