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General NPI Number Information
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NPI Number | 1407213572
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Entity Type | Individual
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Provider Name | CHRISTOPHER PATRICK MCDERMOTT PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1325 COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-5131
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Country | US
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Telephone | 530-662-3961
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 WEDGEWOOD WAY
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City | ROCKLIN
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State | CA
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Zip | 95765-5055
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Country | US
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Telephone | 916-878-1602
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 53334
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 53334
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License Number State | CA
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