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General NPI Number Information
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NPI Number | 1699729913
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Entity Type | Individual
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Provider Name | MARK G. CHRISTOPHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 500 BURLINGTON RD
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City | JACKSON
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State | OH
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Zip | 45640-9360
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Country | US
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Telephone | 855-446-5387
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Fax | 740-446-5573
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Provider Business Mailing Address
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Address Line | 90 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-441-1934
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Fax | 740-446-5486
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35-04-9998
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License Number State | OH
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