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General NPI Number Information
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NPI Number | 1306499025
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Entity Type | Individual
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Provider Name | CHRISTEL-ANN B AUGUSTIN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 263 N MAIN ST
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City | SPRING VALLEY
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State | NY
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Zip | 10977-3762
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Country | US
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Telephone | 845-425-9600
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Fax | 845-425-9602
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Provider Business Mailing Address
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Address Line | 2 DICKENS ST
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City | STONY POINT
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State | NY
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Zip | 10980-3653
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Country | US
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Telephone | 845-323-7187
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349420
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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 | 736510
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License Number State | NY
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