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General NPI Number Information
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NPI Number | 1871595777
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL SHORT O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 ROBINSON CENTER DR SUITE 2870
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City | PITTSBURGH
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State | PA
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Zip | 15205-4831
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Country | US
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Telephone | 412-490-0820
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Fax | 412-490-2570
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Provider Business Mailing Address
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Address Line | 1311 BRIDLE TRL
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City | MOON TOWNSHIP
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State | PA
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Zip | 15108-4702
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Country | US
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Telephone | 412-262-6139
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001171
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License Number State | PA
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