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General NPI Number Information
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NPI Number | 1346528866
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Entity Type | Individual
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Provider Name | CHRISTIE ANNE CLINE MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 8905 OSUNA RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2139
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Country | US
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Telephone | 505-379-6145
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Fax |
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Provider Business Mailing Address
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Address Line | 12231 ACADEMY RD NE # 301-313
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-7236
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Country | US
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Telephone | 505-379-6145
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 98-240
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License Number State | NM
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