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General NPI Number Information
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NPI Number | 1992361778
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Entity Type | Individual
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Provider Name | CHRISTOPHER BURRELL
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Gender | Male
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 1340 HAL GREER BLVD STE 4000
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City | HUNTINGTON
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State | WV
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Zip | 25701-3804
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Country | US
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Telephone | 304-691-1787
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Fax | 304-691-8711
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Provider Business Mailing Address
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Address Line | 1448 10TH AVE STE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone | 304-691-6381
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Fax | 304-691-8591
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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 | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 33821
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 33821
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License Number State | WV
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