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General NPI Number Information
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NPI Number | 1740457373
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOONEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 300 E HOSPITAL ROAD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-4501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95460
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City | CLEVELAND
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State | OH
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Zip | 44101-0033
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Country | US
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Telephone | 602-581-6076
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Fax | 602-263-1619
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 71245
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License Number State | GA
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