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General NPI Number Information
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NPI Number | 1629363270
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Entity Type | Individual
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Provider Name | CHRISTINA VERA FLOREANI
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Gender | Female
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Dates
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Enumeration Date | 06/12/2011
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 420 S AHRENS AVE
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City | LOMBARD
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State | IL
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Zip | 60148-3006
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Country | US
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Telephone | 773-916-7595
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Fax | 866-339-5811
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Provider Business Mailing Address
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Address Line | 108 S EAST AVE APT 3
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City | OAK PARK
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State | IL
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Zip | 60302-2983
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Country | US
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Telephone | 773-614-2032
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.133797
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License Number State | IL
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