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General NPI Number Information
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NPI Number | 1770016511
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL TREMONTI P.A.-C.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 370 S MARKET BLVD
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City | CHEHALIS
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State | WA
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Zip | 98532-3042
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Country | US
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Telephone | 360-748-6693
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Fax |
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Provider Business Mailing Address
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Address Line | 612 AZURE HILLS DR
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City | SIMI VALLEY
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State | CA
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Zip | 93065-5528
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Country | US
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Telephone | 805-501-1006
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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