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General NPI Number Information
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NPI Number | 1497001770
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAUL STRANDBURG DDS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 11687 NATIONAL BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-3801
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Country | US
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Telephone | 424-426-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 5713 VIA MONTECITO
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City | GRANITE BAY
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State | CA
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Zip | 95746-5838
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Country | US
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Telephone | 916-276-9588
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9539
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 101274
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License Number State | CA
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