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General NPI Number Information
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NPI Number | 1871375923
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Entity Type | Individual
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Provider Name | CHRISTOPHER FU RD, LDN
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Gender | Male
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1401 N 10TH AVE
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City | STAYTON
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State | OR
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Zip | 97383-1399
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Country | US
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Telephone | 503-769-9223
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Fax |
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Provider Business Mailing Address
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Address Line | 1986 WALLACE RD NW UNIT 327
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City | SALEM
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State | OR
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Zip | 97304-2294
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Country | US
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Telephone | 971-272-7323
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86341887
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License Number State |
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