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General NPI Number Information
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NPI Number | 1568559888
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Entity Type | Individual
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Provider Name | CHRISTOPHER NEVILLE USSHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 3100 KENNARD ST
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City | MAPLEWOOD
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State | MN
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Zip | 55109-5465
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Country | US
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Telephone | 650-737-2692
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 DOUGLAS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95661-3831
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Country | US
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Telephone | 831-423-4111
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A52359
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License Number State | CA
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