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General NPI Number Information
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NPI Number | 1316476534
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Entity Type | Organization
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Legal Business Name | CHRISTIECARE, LLC
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2903 SW BUTTERFLY LN
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City | PALM CITY
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State | FL
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Zip | 34990-8217
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Country | US
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Telephone | 609-513-3818
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Fax | 772-324-8083
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Provider Business Mailing Address
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Address Line | 2903 SW BUTTERFLY LN
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City | PALM CITY
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State | FL
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Zip | 34990-8217
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Country | US
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Telephone | 609-513-3818
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Fax | 772-324-8083
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTIE RENEE PINOLINI
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Credential | ARNP
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Telephone | 609-513-3818
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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 | ARNP9348740
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License Number State | FL
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