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General NPI Number Information
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NPI Number | 1811916968
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Entity Type | Organization
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Legal Business Name | MAJA K. SANDBERG, M.D., INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 2510 AIRPARK DR SUITE 303
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City | REDDING
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State | CA
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Zip | 96001-2449
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Country | US
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Telephone | 530-244-6619
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Fax | 530-244-6906
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Provider Business Mailing Address
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Address Line | 2510 AIRPARK DR SUITE 303
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City | REDDING
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State | CA
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Zip | 96001-2449
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Country | US
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Telephone | 530-244-6619
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Fax | 530-244-6906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAJA K SANDBERG
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Credential | M.D.
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Telephone | 530-244-6619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C41530
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License Number State | CA
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