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General NPI Number Information
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NPI Number | 1902305709
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Entity Type | Individual
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Provider Name | CHRISTOPHER BRITTON PRIVETTE PA
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Gender | Male
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 75 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4532
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Country | US
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Telephone | 973-436-1500
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Fax | 973-535-5069
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Provider Business Mailing Address
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Address Line | 201 MAIN ST APT 7
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City | EAST RUTHERFORD
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State | NJ
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Zip | 07073-1849
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Country | US
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Telephone | 803-229-2653
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2928
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00844500
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License Number State | NJ
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