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General NPI Number Information
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NPI Number | 1598180614
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Entity Type | Individual
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Provider Name | CHRISTINA L DZIOBA FNP, WHNP-BC, C-EFM
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Gender | Female
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 202 W FAIRVIEW AVE
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City | JOHNSON CITY
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State | TN
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Zip | 37604-5611
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Country | US
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Telephone | 423-439-7371
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Fax | 423-232-0420
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Provider Business Mailing Address
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Address Line | PO BOX 70403
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9404349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 39491
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4380-33
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License Number State | WI
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