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General NPI Number Information
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NPI Number | 1639147408
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Entity Type | Individual
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Provider Name | CHRIS B SANDBERG MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1515 ST JOSEPH AVE
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City | ST JOSEPH
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State | MO
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Zip | 64505-2631
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Country | US
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Telephone | 816-233-3338
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Fax | 816-233-4777
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Provider Business Mailing Address
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Address Line | 1515 SAINT JOSEPH AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64505-2631
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Country | US
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Telephone | 816-233-3338
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Fax | 816-233-4777
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35550
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License Number State | MO
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