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General NPI Number Information
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NPI Number | 1548376957
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Entity Type | Individual
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Provider Name | CHRISTIAN MERIT FORTNEY DDS
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 230 W 3RD AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4109
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Country | US
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Telephone | 760-489-0330
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Fax | 760-489-1330
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Provider Business Mailing Address
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Address Line | 230 W 3RD AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4109
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Country | US
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Telephone | 760-489-0330
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Fax | 760-489-1330
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 45257
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License Number State | CA
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