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General NPI Number Information
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NPI Number | 1881153914
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Entity Type | Individual
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Provider Name | NICHOLAS OLIVER CHRISTENSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1900 DRESDEN DR
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City | LINCOLN
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State | CA
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Zip | 95648-8803
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Country | US
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Telephone | 916-543-5400
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Fax | 916-543-5415
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Provider Business Mailing Address
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Address Line | 248 LANTON CT
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City | ROSEVILLE
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State | CA
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Zip | 95747-9053
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Country | US
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Telephone | 213-448-0408
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A191727
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License Number State | CA
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