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General NPI Number Information
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NPI Number | 1437591823
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Entity Type | Individual
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Provider Name | CHRISTINE SAUNDERS PA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 4600 MONTGOMERY BLVD NE STE B100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1206
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Country | US
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Telephone | 505-924-5840
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Fax | 505-924-5841
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY BLVD NE STE 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1210
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Country | US
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Telephone | 505-924-5840
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Fax | 505-924-5841
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110004311
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2014-0008
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2014-0008
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | PA2014-0008
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License Number State | NM
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