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General NPI Number Information
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NPI Number | 1235644451
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Entity Type | Individual
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Provider Name | CHRISTA A BOLDEN NP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 306 E RANDOL MILL RD STE 700
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City | ARLINGTON
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State | TX
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Zip | 76011-1410
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Country | US
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Telephone | 469-252-7088
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Fax | 469-320-1947
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Provider Business Mailing Address
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Address Line | 306 E RANDOL MILL RD STE 700
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City | ARLINGTON
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State | TX
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Zip | 76011-1410
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Country | US
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Telephone | 469-252-7088
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Fax | 469-320-1947
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP135795
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135795
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State | TX
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