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General NPI Number Information
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NPI Number | 1225399421
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Entity Type | Individual
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Provider Name | SANDRA CELIA MAGOS CHRISTIANSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 707 N MARKET ST
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City | FREDERICK
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State | MD
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Zip | 21701-5246
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Country | US
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Telephone | 301-662-5300
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Fax | 301-631-5572
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Provider Business Mailing Address
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Address Line | 600 HUMBERSON LN
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City | FREDERICK
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State | MD
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Zip | 21703-2223
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Country | US
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Telephone | 301-631-0426
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0045817
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License Number State | MD
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