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General NPI Number Information
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NPI Number | 1205987351
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Entity Type | Individual
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Provider Name | CHRISTOPHER M SINCLAIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 254 WINDWARD DR
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2322
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Country | US
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Telephone | 631-560-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 254 WINDWARD DR
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2322
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Country | US
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Telephone | 631-560-7290
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301505450
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 232434
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 042228
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 232434
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License Number State | NY
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