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General NPI Number Information
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NPI Number | 1376516146
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Entity Type | Individual
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Provider Name | CHRISTOPHER PIERCE MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 4040 POSTAL DR
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City | ROANOKE
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State | VA
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Zip | 24018-6438
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Country | US
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Telephone | 540-772-4453
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Fax | 540-772-4717
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Provider Business Mailing Address
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Address Line | 5460 LINDA LN
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City | ROANOKE
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State | VA
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Zip | 24018-3823
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101-057345
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License Number State | VA
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