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General NPI Number Information
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NPI Number | 1619974599
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEIGH JOHN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 11321 INTERSTATE 30 STE 306
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City | LITTLE ROCK
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State | AR
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Zip | 72209-7067
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Country | US
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Telephone | 501-407-0200
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Fax | 501-407-0220
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Provider Business Mailing Address
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Address Line | 11321 INTERSTATE 30 STE 306
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City | LITTLE ROCK
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State | AR
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Zip | 72209-7067
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Country | US
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Telephone | 501-407-0200
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Fax | 501-407-0220
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E2644
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | E2644
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | E6244
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License Number State | AR
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