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General NPI Number Information
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NPI Number | 1689318297
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Entity Type | Individual
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Provider Name | CHRISTOPHER MUSIL DO
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Gender | Male
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 107 KOONTZ AVE STE 200
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City | CLENDENIN
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State | WV
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Zip | 25045-9581
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Country | US
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Telephone | 304-548-7272
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Fax | 304-548-7149
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Provider Business Mailing Address
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Address Line | 104 ALEX LN
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City | CHARLESTON
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State | WV
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Zip | 25304-2952
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Country | US
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Telephone | 304-734-2040
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Fax | 304-734-2047
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4498
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License Number State | WV
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