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General NPI Number Information
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NPI Number | 1417535410
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Entity Type | Individual
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Provider Name | CHRISTOPHER STEPHEN MOYER DO, MHA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 23351 PRAIRIE STAR PKWY STE A245
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City | LENEXA
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State | KS
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Zip | 66227-7301
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Country | US
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Telephone | 913-676-8630
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Fax | 913-676-8635
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Provider Business Mailing Address
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Address Line | 23351 PRAIRIE STAR PKWY STE A245
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City | LENEXA
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State | KS
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Zip | 66227-7301
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Country | US
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Telephone | 913-676-8630
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Fax | 913-676-8635
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-49739
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License Number State | KS
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