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General NPI Number Information
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NPI Number | 1922243880
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Entity Type | Individual
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Provider Name | CHRISTOPHER ADAM CONNORS D.M.D, M.S
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Gender | Male
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1288 ABBE RD N STE C
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City | ELYRIA
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State | OH
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Zip | 44035-1679
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Country | US
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Telephone | 440-471-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 28003 OSBORN RD
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City | BAY VILLAGE
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State | OH
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Zip | 44140-2012
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Country | US
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Telephone | 440-847-8214
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 30.024625
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License Number State | OH
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