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General NPI Number Information
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NPI Number | 1588921282
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Entity Type | Individual
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Provider Name | CHRISTINA VAN DUZER PA
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 651 HOLIDAY DR STE 500
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City | PITTSBURGH
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State | PA
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Zip | 15220-2740
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Country | US
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Telephone | 412-307-4612
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Fax |
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Provider Business Mailing Address
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Address Line | 6323 STRAW ACRES RD
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City | SPRING GROVE
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State | PA
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Zip | 17362-9141
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Country | US
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Telephone | 201-317-2400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA059343
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License Number State | PA
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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 | 015466-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0006412
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License Number State | MD
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