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General NPI Number Information
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NPI Number | 1538173950
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN GORDON CHISHOLM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 15725 POMERADO RD SUITE 107
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City | POWAY
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State | CA
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Zip | 92064-2068
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Country | US
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Telephone | 858-453-7700
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Fax | 858-947-3828
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Provider Business Mailing Address
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Address Line | PO BOX 501724
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City | SAN DIEGO
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State | CA
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Zip | 92150-1724
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Country | US
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Telephone | 619-894-1975
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Fax | 858-798-1225
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A86646
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 67636
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | A86646
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 67636
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A86646
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License Number State | CA
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