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General NPI Number Information
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NPI Number | 1922059906
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Entity Type | Individual
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Provider Name | JOHN WENDELL CHRISTOPHE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2235 WORLEY DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3631
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Country | US
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Telephone | 318-613-4652
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Fax | 318-442-2493
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Provider Business Mailing Address
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Address Line | 2235 WORLEY DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3631
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Country | US
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Telephone | 303-507-1287
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Fax | 318-442-2493
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7629
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4741-015
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9307
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20800
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61216943
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License Number State | WA
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