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General NPI Number Information
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NPI Number | 1669455028
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Entity Type | Individual
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Provider Name | CHRISTOPHER W DEGN MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 801 E WILLIAMS AVE
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City | FALLON
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State | NV
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Zip | 89406-3052
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Country | US
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Telephone | 775-423-3151
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Fax | 775-428-2914
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Provider Business Mailing Address
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Address Line | PO BOX 32364
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City | KNOXVILLE
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State | TN
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Zip | 37930-2364
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Country | US
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Telephone | 800-343-2599
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Fax | 865-531-2722
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 043127
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11820
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License Number State | NV
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