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General NPI Number Information
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NPI Number | 1013282177
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Entity Type | Individual
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Provider Name | DR. CHRISTA ERIN MATRONE
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 83 W MILLER ST
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City | ORLANDO
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State | FL
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Zip | 32806-2009
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Country | US
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Telephone | 352-346-2108
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Fax |
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Provider Business Mailing Address
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Address Line | 83 W MILLER ST
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City | ORLANDO
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State | FL
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Zip | 32806-2009
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Country | US
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Telephone | 352-346-2108
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME139958
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME139958
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License Number State | FL
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