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General NPI Number Information
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NPI Number | 1689923898
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Entity Type | Individual
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Provider Name | RENA J. CHRISTMAN DMD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 2509 COUNTY HIGHWAY I
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1422
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Country | US
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Telephone | 715-403-4535
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Fax | 715-726-1066
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Provider Business Mailing Address
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Address Line | 2509 COUNTY HWY I
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City | CHIPPEWA
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State | WI
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Zip | 54729
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Country | US
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Telephone | 715-403-4535
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Fax | 715-726-1066
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6936-15
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License Number State | WI
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