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General NPI Number Information
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NPI Number | 1891080024
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Entity Type | Individual
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Provider Name | CHRISTOPHER CONNOR D.O
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 150 MUNDY ST MAC IV BUILDING
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City | WILKES BARRE
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State | PA
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Zip | 18702-6830
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Country | US
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Telephone | 570-824-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MORGAN HWY SUITE 4
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City | SCRANTON
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State | PA
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Zip | 18508-2641
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Country | US
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Telephone | 570-344-3788
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | RT-2731
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS016727
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | OS016727
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License Number State | PA
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