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NPI 1952215170

NPI 1952215170 : CHRISTOPHER MUNIZ : BLANDING, UT

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General NPI Number Information
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    NPI Number           |    1952215170
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER MUNIZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    212 W FREEDOM WAY 
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    City                 |    BLANDING
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    State                |    UT
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    Zip                  |    84511-3216
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    Country              |    US
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    Telephone            |    505-430-9554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4615 SUMMER WIND 
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    City                 |    FARMINGTON
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    State                |    NM
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    Zip                  |    87401-4424
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    Country              |    US
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    Telephone            |    505-430-9554
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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        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    AZ00019959
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    License Number State |    AZ
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