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General NPI Number Information
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NPI Number | 1598791865
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Entity Type | Individual
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Provider Name | CHRISTINE RAE POPKIE RN, BSN,MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 16280 DRESDEN AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9024
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Country | US
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Telephone | 724-773-1995
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Fax | 330-385-5463
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Provider Business Mailing Address
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Address Line | 16280 DRESDEN AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9024
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Country | US
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Telephone | 724-773-1995
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Fax | 330-385-5463
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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 | NP-08844
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24876
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP009840
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License Number State | PA
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