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General NPI Number Information
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NPI Number | 1871011833
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN MICHELS HIS
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Gender | Male
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 459 N CLAUDE A LORD BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2705
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Country | US
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Telephone | 570-622-9151
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Fax | 570-622-3335
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Provider Business Mailing Address
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Address Line | 55 HILL TERRACE DR
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City | POTTSVILLE
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State | PA
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Zip | 17901-9041
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Country | US
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Telephone | 15705731024
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Fax | 570-622-3335
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3306
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License Number State | PA
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