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General NPI Number Information
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NPI Number | 1982870283
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Entity Type | Individual
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Provider Name | HOWARD K. CHRISTIANSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 807 CHILDRENS WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 904-697-3032
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Fax |
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Provider Business Mailing Address
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Address Line | 825 BAYTREE LN
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-4164
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Country | US
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Telephone | 617-680-0053
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 8125153-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 8125153-1205
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License Number State | UT
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