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General NPI Number Information
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NPI Number | 1487905238
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER R. ROSE, MD PA
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 3709 22ND PL STE A
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City | LUBBOCK
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State | TX
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Zip | 79410-1333
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Country | US
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Telephone | 806-791-3999
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Fax | 806-791-1054
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Provider Business Mailing Address
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Address Line | 3709 22ND PL STE A
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City | LUBBOCK
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State | TX
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Zip | 79410-1333
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Country | US
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Telephone | 806-791-3999
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Fax | 806-791-1054
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Authorized Official
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Title or Position | OWNER/PRINCIPAL
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Name | DR. CHRISTOPHER R ROSE
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Credential | MD
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Telephone | 806-791-3999
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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 |
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License Number State |
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