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General NPI Number Information
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NPI Number | 1134532831
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN FLORIO APRN,RN, CADC
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 302 N 1ST ST SUITE 1
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City | LA GRANGE
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State | KY
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Zip | 40031-1502
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Country | US
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Telephone | 502-716-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 202 S FIRST AVE STE 1
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City | LA GRANGE
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State | KY
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Zip | 40031-2208
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Country | US
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Telephone | 502-716-0360
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Fax | 502-281-0824
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3013908
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License Number State | KY
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