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General NPI Number Information
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NPI Number | 1144904053
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Entity Type | Individual
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Provider Name | CHRISTIANA ANNMARIE NUNEZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 588 LONGMEADOW ST
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City | LONGMEADOW
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State | MA
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Zip | 01106-2212
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Country | US
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Telephone | 347-424-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 91 PINE ACRES BLVD
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City | DEER PARK
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State | NY
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Zip | 11729-2105
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 033946
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License Number State | NY
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