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General NPI Number Information
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NPI Number | 1154288637
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Entity Type | Individual
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Provider Name | CHRISTINA ELIZABETH GOVER-O'DONNELL M.S., CDCES, RDN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2097 HENRY TECKLENBURG DR STE 309
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City | CHARLESTON
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State | SC
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Zip | 29414-5744
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Country | US
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Telephone | 843-402-1337
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Fax | 843-402-1236
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Provider Business Mailing Address
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Address Line | 2097 HENRY TECKLENBURG DR STE 309
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City | CHARLESTON
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State | SC
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Zip | 29414-5744
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Country | US
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Telephone | 843-402-1337
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Fax | 843-402-1236
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LRD.2143.RD
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License Number State | SC
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