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General NPI Number Information
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NPI Number | 1851562151
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Entity Type | Organization
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Legal Business Name | DAVID W CHRISTENSEN
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 100 S SPRUCE ST
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City | BIRDSBORO
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State | PA
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Zip | 19508-2344
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Country | US
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Telephone | 610-582-1561
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Fax | 610-582-3385
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Provider Business Mailing Address
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Address Line | 100 S SPRUCE ST P.O. BOX 65
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City | BIRDSBORO
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State | PA
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Zip | 19508-2344
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Country | US
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Telephone | 610-582-1561
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Fax | 610-582-3385
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Authorized Official
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Title or Position | OWNER
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Name | DAVID W CHRISTENSEN
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Credential | M.D.
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Telephone | 610-582-1561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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