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General NPI Number Information
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NPI Number | 1205262151
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Entity Type | Individual
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Provider Name | CHRISTINA GOVAN RN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 928 POND VIEW HTS
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City | ROCHESTER
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State | NY
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Zip | 14612-1300
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Country | US
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Telephone | 585-770-8307
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Fax |
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Provider Business Mailing Address
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Address Line | 928 POND VIEW HTS
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City | ROCHESTER
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State | NY
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Zip | 14612-1300
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Country | US
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Telephone | 585-749-7023
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 299822
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 887611
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License Number State | NY
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