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General NPI Number Information
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NPI Number | 1962745471
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Entity Type | Individual
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Provider Name | SAMUEL CHRISTENSEN D.D.S, M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2575 N ANKENY BLVD STE 205
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City | ANKENY
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State | IA
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Zip | 50023-4710
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Country | US
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Telephone | 515-965-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 N ANKENY BLVD STE 205
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City | ANKENY
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State | IA
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Zip | 50023-4710
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Country | US
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Telephone | 515-965-2672
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 09175
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 09175
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License Number State | IA
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