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General NPI Number Information
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NPI Number | 1508834110
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Entity Type | Individual
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Provider Name | CHRISTOPHER PHILIP NOVAK M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 605 LETRADO ST STE D
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City | SANTA FE
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State | NM
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Zip | 87505-4146
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Country | US
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Telephone | 505-476-2670
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Fax | 505-476-2694
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Provider Business Mailing Address
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Address Line | 605 LETRADO ST STE D
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City | SANTA FE
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State | NM
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Zip | 87505-4146
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Country | US
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Telephone | 505-476-2670
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Fax | 505-476-2694
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD2009-0030
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License Number State | NM
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