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General NPI Number Information
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NPI Number | 1972725422
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER M. BRODINE DPM, PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2010 SW 10TH STREET
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City | TOPEKA
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State | KS
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Zip | 66604-1406
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Country | US
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Telephone | 785-354-7608
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Fax | 785-354-4202
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Provider Business Mailing Address
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Address Line | 2010 SW 10TH STREET
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City | TOPEKA
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State | KS
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Zip | 66604-1406
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Country | US
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Telephone | 785-354-7608
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Fax | 785-354-4202
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER M BRODINE
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Credential | DPM
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Telephone | 785-354-7608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1200333
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License Number State | KS
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