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General NPI Number Information
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NPI Number | 1386190023
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Entity Type | Individual
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Provider Name | CHRISTINE ANNIBALI MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2250 ALCAZAR ST STE 2200
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City | LOS ANGELES
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State | CA
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Zip | 90089-8021
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Country | US
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Telephone | 732-235-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 3465 ANGELUS AVE
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City | GLENDALE
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State | CA
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Zip | 91208-1512
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Country | US
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Telephone | 609-204-0848
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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 | A170008
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License Number State | CA
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