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General NPI Number Information
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NPI Number | 1982063012
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER G HISEL MD PA
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 706 E FELT ST
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City | BROWNFIELD
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State | TX
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Zip | 79316-3440
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Country | US
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Telephone | 806-637-0344
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Fax | 806-637-1117
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Provider Business Mailing Address
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Address Line | 706 E FELT ST
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City | BROWNFIELD
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State | TX
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Zip | 79316-3440
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Country | US
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Telephone | 806-637-0344
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Fax | 806-637-1117
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER HISEL
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Credential | MD
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Telephone | 806-544-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K7764
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License Number State | TX
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