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NPI 1972576064

NPI 1972576064 : PAMELA CHRISTENSON MD : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1972576064
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA CHRISTENSON MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    713 VOLVO PKWY SUITE 100
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-1614
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    Country              |    US
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    Telephone            |    757-548-0076
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    Fax                  |    757-548-1652
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7068 
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    City                 |    PORTSMOUTH
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    State                |    VA
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    Zip                  |    23707-0068
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    Country              |    US
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    Telephone            |    757-686-3542
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    Fax                  |    757-686-0230
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    0101234671
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    License Number State |    VA
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