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General NPI Number Information
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NPI Number | 1417768219
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Entity Type | Individual
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Provider Name | CHRISTOPHER CHARLES HOPPER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 5305 GREENWOOD AVE STE 204
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2449
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Country | US
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Telephone | 561-882-6060
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Fax | 561-845-2297
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Provider Business Mailing Address
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Address Line | 5305 GREENWOOD AVE STE 204
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2449
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Country | US
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Telephone | 561-882-6060
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Fax | 561-845-2297
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9119948
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License Number State | FL
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