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NPI 1366429045

NPI 1366429045 : CHRISTOPHER D PAGE DPM : YUBA CITY, CA

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General NPI Number Information
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    NPI Number           |    1366429045
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER D PAGE DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/23/2005
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    Last Update Date     |    01/19/2011
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Provider Practice Location Address
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    Address Line         |    370 DEL NORTE AVE SUITE 201
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991-4142
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    Country              |    US
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    Telephone            |    530-671-2650
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    Fax                  |    530-671-4265
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Provider Business Mailing Address
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    Address Line         |    370 DEL NORTE AVE SUITE 201
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991
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    Country              |    US
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    Telephone            |    530-671-2650
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    Fax                  |    530-671-4265
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    E4420
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    License Number State |    CA
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