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NPI 1013109743

NPI 1013109743 : CHRISTOPHER MICHAEL SECHRIST DDS, MS : REDLANDS, CA

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General NPI Number Information
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    NPI Number           |    1013109743
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER MICHAEL SECHRIST DDS, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/16/2007
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    Last Update Date     |    01/15/2014
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Provider Practice Location Address
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    Address Line         |    5 E CITRUS AVE SUITE 201
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-4747
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    Country              |    US
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    Telephone            |    909-435-4995
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    700 E REDLANDS BLVD SUITE U-210
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-6109
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    Country              |    US
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    Telephone            |    858-876-8743
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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        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    47317
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    License Number State |    CA
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