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General NPI Number Information
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NPI Number | 1326340183
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Entity Type | Individual
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Provider Name | CHRISTA ERNSBERGER L.P.N.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 1031 JOHN SIMS PKWY E
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City | NICEVILLE
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State | FL
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Zip | 32578-2712
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Country | US
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Telephone | 850-865-8140
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Fax | 850-897-9620
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Provider Business Mailing Address
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Address Line | 1010 47TH ST
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City | NICEVILLE
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State | FL
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Zip | 32578-1318
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Country | US
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Telephone | 850-865-8140
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Fax | 850-897-9620
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 5178907
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License Number State | FL
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