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General NPI Number Information
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NPI Number | 1538196548
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Entity Type | Individual
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Provider Name | CHRISTOPHER J KOEBBE MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5800 49TH ST N STE 201
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2100
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Country | US
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Telephone | 727-605-1770
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Fax | 727-605-1080
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Provider Business Mailing Address
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Address Line | 5800 49TH ST N STE 201
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2100
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Country | US
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Telephone | 727-605-1770
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Fax | 727-605-1080
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME123561
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License Number State | FL
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