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General NPI Number Information
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NPI Number | 1699092486
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN MANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2029
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Country | US
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Telephone | 205-759-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 WAUGH LN
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1845
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Country | US
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Telephone | 225-266-5693
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME115265
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.34156
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License Number State | AL
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