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General NPI Number Information
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NPI Number | 1437203478
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER G. ECONOMUS, D.O.,LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 61 TALSMAN DR
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City | CANFIELD
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State | OH
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Zip | 44406-1207
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Country | US
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Telephone | 330-533-2218
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Fax | 330-533-6111
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Provider Business Mailing Address
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Address Line | 61 TALSMAN DR
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City | CANFIELD
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State | OH
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Zip | 44406-1207
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Country | US
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Telephone | 330-533-2218
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Fax | 330-533-6111
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CHRISTOPHER GEORGE ECONOMUS
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Credential | D.O.
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Telephone | 330-533-2218
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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 | 34-00-6797-E
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License Number State | OH
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