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General NPI Number Information
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NPI Number | 1194061788
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Entity Type | Individual
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Provider Name | CHRISTINE LOUISE OBERG CNP
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Gender | Female
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Dates
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Enumeration Date | 12/31/2012
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 4333 PAN AMERICAN FWY NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-6833
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Country | US
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Telephone | 505-600-2511
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Fax | 505-300-4977
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Provider Business Mailing Address
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Address Line | 4333 PAN AMERICAN FWY NE STE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-6833
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Country | US
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Telephone | 505-600-2511
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Fax | 505-300-4977
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP 02174
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License Number State | NM
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