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General NPI Number Information
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NPI Number | 1538735113
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Entity Type | Individual
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Provider Name | CHRISTINE ANN BOONE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | MARINE CORPS BASE CAMP LEJEUNE, H STREET BUILDING 326, OFFICE 247
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City | CAMP LEJEUNE
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State | NC
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Zip | 28542
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Country | US
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Telephone | 910-451-9226
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Fax | 580-200-0796
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Provider Business Mailing Address
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Address Line | NAVAL MEDICAL CENTER 100 BREWSTER BLVD.
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-450-4700
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ANCC2021027031
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 65316
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License Number State | NM
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