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General NPI Number Information
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NPI Number | 1366987869
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Entity Type | Organization
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Legal Business Name | DR. CHRISTOPHER M. WILL DDS., INC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 1480 GRANDVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-2862
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Country | US
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Telephone | 614-488-3313
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Fax | 614-488-6395
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Provider Business Mailing Address
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Address Line | 1480 GRANDVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-2862
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Country | US
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Telephone | 614-488-3313
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Fax | 614-488-6395
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | CHRISTOPHER M WILL
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Credential | DDS
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Telephone | 614-488-3313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30021087
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License Number State | OH
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