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General NPI Number Information
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NPI Number | 1174550602
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Entity Type | Individual
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Provider Name | CHRISTOPHER LANDER MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 2050 ABBEY ROAD STE A
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911
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Country | US
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Telephone | 434-295-3600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7096
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City | STOCKTON
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State | CA
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Zip | 95267-0096
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Country | US
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Telephone | 209-956-7725
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 101043353
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License Number State | VA
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