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General NPI Number Information
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NPI Number | 1366784373
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Entity Type | Individual
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Provider Name | CHRISTINA ELIZABETH WYNN CNM
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 1650 RESPONSE RD
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City | SACRAMENTO
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State | CA
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Zip | 95815-4807
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Country | US
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Telephone | 916-973-5000
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Fax | 877-738-4262
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Provider Business Mailing Address
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Address Line | 1650 RESPONSE RD
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City | SACRAMENTO
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State | CA
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Zip | 95815-4807
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Country | US
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Telephone | 916-973-5000
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Fax | 877-738-4262
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F001515
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License Number State | NY
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