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General NPI Number Information
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NPI Number | 1336353325
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Entity Type | Individual
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Provider Name | CHRISTINE ANNE GANZER NPP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 E 56TH ST RM 1040
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City | NEW YORK
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State | NY
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Zip | 10022-3651
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Country | US
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Telephone | 212-888-0002
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Fax | 212-888-1899
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Provider Business Mailing Address
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Address Line | 27 BEACON HILL RD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3031
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Country | US
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Telephone | 516-944-7747
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Fax | 516-944-6644
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 40-400873
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License Number State | NY
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