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General NPI Number Information
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NPI Number | 1437487808
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROGER MYERS DDS
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Gender | Male
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 825 E BIDWELL ST STE 400
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City | FOLSOM
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State | CA
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Zip | 95630
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Country | US
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Telephone | 916-984-4591
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 OAK HILL WAY
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City | ROSEVILLE
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State | CA
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Zip | 95661-4017
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Country | US
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Telephone | 408-250-0387
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 58892
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 58892
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License Number State | CA
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