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General NPI Number Information
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NPI Number | 1053997767
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Entity Type | Individual
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Provider Name | CHRISTINA STEVENS CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 1149 NIMMO PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7730
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Country | US
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Telephone | 757-563-2908
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Fax |
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Provider Business Mailing Address
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Address Line | 538 REID ST
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City | MARION
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State | NC
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Zip | 28752-4932
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Country | US
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Telephone | 828-803-1713
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30026213
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State | VA
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