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General NPI Number Information
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NPI Number | 1396321196
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Entity Type | Individual
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Provider Name | CHRISTOPHER RYAN VANDREUMEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 6431 FANNIN STREET STE MSB 1.255E
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 832-325-7222
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Fax | 713-500-6829
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Provider Business Mailing Address
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Address Line | 8316 SUFFOLK DR
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City | SHREVEPORT
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State | LA
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Zip | 71106-5914
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Country | US
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Telephone | 225-276-1081
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 340663
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License Number State | LA
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