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General NPI Number Information
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NPI Number | 1386695088
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Entity Type | Individual
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Provider Name | CHRISTINA FOLMSBEE PA
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 POLY PL
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City | BROOKLYN
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State | NY
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Zip | 11209-7104
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Country | US
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Telephone | 718-836-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 110TH ST
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City | COLLEGE POINT
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State | NY
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Zip | 11356-1444
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Country | US
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Telephone | 718-358-0406
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 001183-1
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License Number State | NY
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