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General NPI Number Information
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NPI Number | 1881227957
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Entity Type | Individual
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Provider Name | ALEX CHRISTENSEN OD
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Gender | Male
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 515 W BUCKEYE RD STE 104
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City | PHOENIX
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State | AZ
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Zip | 85003-3699
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Country | US
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Telephone | 602-207-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 W PRESCOTT DR
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City | CHANDLER
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State | AZ
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Zip | 85248-4838
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Country | US
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Telephone | 254-733-7476
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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 | 9884T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2444
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License Number State | AZ
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