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General NPI Number Information
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NPI Number | 1447396189
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE KING MD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 18418 SCOTTSDALE BLVD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-6470
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Country | US
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Telephone | 216-921-6728
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Fax |
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Provider Business Mailing Address
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Address Line | 36100 JACKSON RD
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City | MORELAND HILLS
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State | OH
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Zip | 44022-1942
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Country | US
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Telephone | 440-247-6904
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35 062548
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License Number State | OH
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