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General NPI Number Information
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NPI Number | 1881894673
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Entity Type | Individual
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Provider Name | CHRISTOPHER ANTONIO MENENDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1225 GRAHAM RD
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City | FLORISSANT
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State | MO
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Zip | 63031-8012
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Country | US
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Telephone | 314-953-6886
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Fax | 314-953-6887
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Provider Business Mailing Address
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Address Line | 701 S HORSEBARN RD STE 100
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City | ROGERS
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State | AR
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Zip | 72758-8796
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Country | US
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Telephone | 314-953-6886
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Fax | 314-953-6887
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E-8334
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License Number State | AR
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