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General NPI Number Information
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NPI Number | 1720573124
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Entity Type | Individual
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Provider Name | CHRISTOPHER DICKINSON DO
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Gender | Male
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 6001 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7719
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Country | US
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Telephone | 515-224-1414
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Fax | 515-224-5140
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Provider Business Mailing Address
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Address Line | 1801 N SENATE BLVD STE 535
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1204
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Country | US
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Telephone | 317-963-4787
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO-06745
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | DO-06745
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License Number State | IA
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