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General NPI Number Information
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NPI Number | 1003790163
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Entity Type | Individual
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Provider Name | CHRISTINA ENCARNACION RD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 2310 N AIRPORT RD
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City | FORT MYERS
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State | FL
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Zip | 33907-1426
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Country | US
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Telephone | 239-931-8401
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 OLD BERRY PT APT 311
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City | FORT MYERS
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State | FL
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Zip | 33916-9547
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Country | US
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Telephone | 321-536-8636
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND11459
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License Number State | FL
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