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General NPI Number Information
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NPI Number | 1780785204
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Entity Type | Individual
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Provider Name | CHRISTIAN G. NAGEOTTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323
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Country | US
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Telephone | 248-661-6450
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Fax | 248-661-6649
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Provider Business Mailing Address
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Address Line | 39450 WEST 12 MILE ROAD HENRY FORD HEALTH SYSTEM
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City | NOVI
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State | MI
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Zip | 48322
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Country | US
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Telephone | 248-344-2490
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Fax | 248-344-2492
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 4301072658
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301072658
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 4301072658
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License Number State | MI
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