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General NPI Number Information
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NPI Number | 1497819940
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Entity Type | Individual
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Provider Name | CRISTINA Z XENACHIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 158 MAIN ST STE 100
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City | MATAWAN
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State | NJ
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Zip | 07747-4104
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Country | US
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Telephone | 732-765-1166
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Fax | 732-765-0027
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Provider Business Mailing Address
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Address Line | 158 MAIN ST STE 100
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City | MATAWAN
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State | NJ
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Zip | 07747-4104
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Country | US
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Telephone | 732-765-1166
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Fax | 732-765-0027
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MA66830
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License Number State | NJ
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