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General NPI Number Information
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NPI Number | 1013194273
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN PROUDFIT MD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2203
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Country | US
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Telephone | 440-312-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 8125 DEVON CT
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5008
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Country | US
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Telephone |
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | ME172675
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 35.142055
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License Number State | OH
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