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General NPI Number Information
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NPI Number | 1477497816
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Entity Type | Individual
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Provider Name | CHRISTIAN DEBBAN
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Gender | Male
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 207 BASS ST
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City | CARROLL
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State | IA
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Zip | 51401-1605
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Country | US
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Telephone | 319-242-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 207 BASS ST
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City | CARROLL
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State | IA
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Zip | 51401-1605
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Country | US
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Telephone | 319-242-1460
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 156562
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License Number State | IA
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