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General NPI Number Information
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NPI Number | 1952980369
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Entity Type | Individual
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Provider Name | CHRISTIAN ALLEN BERGMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 6200 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3529
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Country | US
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Telephone | 520-742-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 650 STEWART AVE
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City | COLUMBUS
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State | OH
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Zip | 43206-2974
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Country | US
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Telephone | 707-980-1315
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 76588
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License Number State | AZ
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