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General NPI Number Information
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NPI Number | 1982136594
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Entity Type | Individual
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Provider Name | CHRISTIAN NILES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2017
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 2200 GOOD HOPE RD
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City | ENOLA
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State | PA
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Zip | 17025-1210
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Country | US
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Telephone | 717-981-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 GOOD HOPE RD
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City | ENOLA
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State | PA
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Zip | 17025-1210
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Country | US
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Telephone |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D89195
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MD476892
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License Number State | PA
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