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General NPI Number Information
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NPI Number | 1104124494
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Entity Type | Individual
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Provider Name | CHRISTINA TEEGARDEN ZIMMERMAN R.N.,M.S.,CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 2711 CLOVER ST
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City | PITTSFORD
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State | NY
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Zip | 14534-1049
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Country | US
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Telephone | 585-442-9271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 93128
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City | ROCHESTER
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State | NY
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Zip | 14692-8128
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Country | US
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Telephone | 585-442-9271
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F380788-1
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License Number State | NY
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