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NPI 1518999424

NPI 1518999424 : CHRISTINE A MITCHELL DO : KATONAH, NY

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General NPI Number Information
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    NPI Number           |    1518999424
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE A MITCHELL DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2006
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    Last Update Date     |    09/03/2024
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Provider Practice Location Address
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    Address Line         |    15 PARKWAY # 2 
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    City                 |    KATONAH
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    State                |    NY
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    Zip                  |    10536-1505
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    Country              |    US
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    Telephone            |    914-507-2909
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    Fax                  |    914-922-7457
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Provider Business Mailing Address
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    Address Line         |    131 PARKVIEW RD N 
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    City                 |    POUND RIDGE
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    State                |    NY
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    Zip                  |    10576-1213
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    Country              |    US
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    Telephone            |    443-280-0379
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    Fax                  |    914-922-7457
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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       |    329146
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    204D00000X
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    Taxonomy Name        |    Neuromusculoskeletal Medicine & OMM Physician
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    License Number       |    329146
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    License Number State |    NY
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