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General NPI Number Information
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NPI Number | 1942259254
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Entity Type | Individual
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Provider Name | TRACEY DENISE CHRISTION D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 6757 E SHELBY DR
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City | MEMPHIS
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State | TN
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Zip | 38141-7846
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Country | US
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Telephone | 901-363-3144
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Fax | 901-363-3143
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Provider Business Mailing Address
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Address Line | 360 E EH CRUMP BLVD
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City | MEMPHIS
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State | TN
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Zip | 38126-5394
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Country | US
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Telephone | 901-261-2000
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS0000007821
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7821
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License Number State | TN
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