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General NPI Number Information
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NPI Number | 1558140178
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Entity Type | Individual
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Provider Name | CHRISTINE JO WARDEN RN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 50 VFW RD
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City | ELDON
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State | MO
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Zip | 65026-4685
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Country | US
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Telephone | 573-673-6971
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | ELDON
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State | MO
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Zip | 65026-0025
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Country | US
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Telephone | 573-673-6971
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 2010004612
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 2010004612
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License Number State | MO
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