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General NPI Number Information
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NPI Number | 1417999814
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Entity Type | Individual
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Provider Name | CHRISTOPHER S MERCHANT P.A. C
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 500 15TH AVE S SUITE 1
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City | GREAT FALLS
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State | MT
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Zip | 59405-4324
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Country | US
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Telephone | 406-455-3650
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Fax | 406-455-3695
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Provider Business Mailing Address
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Address Line | 500 15TH AVE S SUITE 1
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City | GREAT FALLS
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State | MT
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Zip | 59405-4324
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Country | US
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Telephone | 406-455-3650
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Fax | 406-455-3695
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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 | 220
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License Number State | MT
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