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General NPI Number Information
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NPI Number | 1295944650
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Entity Type | Individual
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Provider Name | JOANNE CHRISTIANA O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 9303 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6947
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Country | US
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Telephone | 954-345-7050
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Fax | 954-345-7050
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Provider Business Mailing Address
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Address Line | 10884 NW 17TH MNR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6318
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Country | US
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Telephone | 954-755-5415
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2583
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License Number State | FL
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