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General NPI Number Information
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NPI Number | 1538896238
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Entity Type | Individual
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Provider Name | CHRISTOPHER JACKSON TURNBULL
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Gender | Male
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 1951 MESQUITE AVE ST. F
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403
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Country | US
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Telephone | 928-963-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 358 W COUNTRY SIDE DR
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City | OREM
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State | UT
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Zip | 84058-3037
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Country | US
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Telephone | 801-900-9686
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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