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General NPI Number Information
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NPI Number | 1851391544
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Entity Type | Organization
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Legal Business Name | CHRISTOJOHN SAMUEL MD INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-365-1668
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Fax | 818-365-1189
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Provider Business Mailing Address
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Address Line | PO BOX 950186
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City | MISSION HILLS
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State | CA
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Zip | 91395-0186
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Country | US
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Telephone | 818-365-1668
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Fax | 818-365-1189
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOJOHN SAMUEL
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Credential | MD
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Telephone | 818-365-1668
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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 | C42242
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License Number State | CA
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