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General NPI Number Information
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NPI Number | 1861524894
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Entity Type | Organization
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Legal Business Name | CHRISTIAN DEQUET, D.O., F.A.C.R., INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 1000 NEWBURY RD STE 285
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6445
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Country | US
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Telephone | 805-480-9748
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Fax | 805-480-9749
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Provider Business Mailing Address
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Address Line | 1000 NEWBURY RD STE 285
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6445
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Country | US
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Telephone | 805-480-9748
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Fax | 805-480-9749
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Authorized Official
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Title or Position | DR
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Name | DR. CHRISTIAN R DEQUET
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Credential | D.O.
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Telephone | 805-480-9748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 20A7412
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License Number State | CA
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