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NPI 1366409419

NPI 1366409419 : CHRISTOPHER K HULL D.O. : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1366409419
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER K HULL D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/01/2006
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    Last Update Date     |    04/23/2008
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Provider Practice Location Address
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    Address Line         |    3625 CAMP BOWIE BLVD 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-3351
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    Country              |    US
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    Telephone            |    817-737-8880
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    Fax                  |    817-731-9112
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Provider Business Mailing Address
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    Address Line         |    3625 CAMP BOWIE BLVD 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-3351
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    Country              |    US
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    Telephone            |    817-737-8880
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    Fax                  |    817-731-9112
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    F4102
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    License Number State |    TX
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