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NPI 1477919256

NPI 1477919256 : CHRISTA MARTINA FLEMING PA-C : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1477919256
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTA MARTINA FLEMING PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2016
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    Last Update Date     |    01/01/2026
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Provider Practice Location Address
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    Address Line         |    5417 WALLACE MARTIN WAY 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27616-4321
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    Country              |    US
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    Telephone            |    252-347-1026
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    107 HYANNIS DR 
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    City                 |    HOLLY SPRINGS
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    State                |    NC
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    Zip                  |    27540-8336
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    Country              |    US
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    Telephone            |    919-363-8666
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    Fax                  |    919-363-8668
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0010-06140
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    001006140
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    License Number State |    NC
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