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General NPI Number Information
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NPI Number | 1487908976
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Entity Type | Organization
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Legal Business Name | CHRIS E. EDMONDSONDDS & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 2219 S LOOP 288 STE 215
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City | DENTON
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State | TX
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Zip | 76205-4983
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Country | US
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Telephone | 940-591-9700
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Fax | 940-387-7982
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Provider Business Mailing Address
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Address Line | 2219 S LOOP 288 STE 215
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City | DENTON
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State | TX
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Zip | 76205-4983
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Country | US
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Telephone | 940-591-9700
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Fax | 940-387-7982
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. CHRISTOPHER ELLIOT EDMONDSON
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Credential | DDS
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Telephone | 940-591-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19032
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License Number State | TX
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