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General NPI Number Information
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NPI Number | 1417907007
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE DAECHER D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 2010 MARKET ST
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City | CAMP HILL
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State | PA
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Zip | 17011-4703
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Country | US
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Telephone | 717-737-5544
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Fax | 717-214-6871
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Provider Business Mailing Address
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Address Line | 2406 LOGAN ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1916
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Country | US
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Telephone | 717-238-1010
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS012988
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License Number State | PA
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