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General NPI Number Information
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NPI Number | 1285506469
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Entity Type | Individual
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Provider Name | MARY KATHERINE MARGUERITE CHRISTIE PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 901 WALNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5214
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Country | US
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Telephone | 267-615-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 644 ROSELAND AVE
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City | JENKINTOWN
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State | PA
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Zip | 19046-4161
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Country | US
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Telephone | 267-615-1102
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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