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General NPI Number Information
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NPI Number | 1083199210
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER M SECHRIST DDS AND CHRISTOPHER M SECHRIST GEN
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 5 E CITRUS AVE STE 201
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City | REDLANDS
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State | CA
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Zip | 92373-4736
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Country | US
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Telephone | 909-798-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 5 E CITRUS AVE STE 201
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City | REDLANDS
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State | CA
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Zip | 92373-4736
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Country | US
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Telephone | 909-798-3772
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | CHRISTOPHER MICHAEL SECHRIST
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Credential | DDS, MS
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Telephone | 909-798-3772
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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 |
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License Number State |
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