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General NPI Number Information
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NPI Number | 1841617974
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER RUSHMEYER
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 1820 HARRIS HOUSTON RD UNIT 621411
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City | CHARLOTTE
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State | NC
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Zip | 28262-9253
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Country | US
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Telephone | 310-497-3969
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 621411
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City | CHARLOTTE
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State | NC
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Zip | 28262-0123
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | CHRISTOPHER RUSHMEYER
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Credential | M.D.
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Telephone | 310-497-3969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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