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General NPI Number Information
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NPI Number | 1386288710
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Entity Type | Individual
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Provider Name | CHRISTINA THOMAS CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 3548 ELLWOOD RD
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City | NEW CASTLE
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State | PA
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Zip | 16101-6122
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Country | US
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Telephone | 724-658-9477
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Fax | 724-658-9476
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Provider Business Mailing Address
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Address Line | 7301 WEST BLVD STE A1
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City | BOARDMAN
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State | OH
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Zip | 44512-5268
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Country | US
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Telephone | 330-758-2775
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Fax | 330-758-2787
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP020672
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License Number State | PA
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