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General NPI Number Information
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NPI Number | 1629412002
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Entity Type | Individual
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Provider Name | CHRISTINA HENRY D.O
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1766 E CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89104-1945
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Country | US
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Telephone | 702-843-2440
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Fax | 833-749-0349
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 702-843-2440
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Fax | 833-749-0349
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | UO3364
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO1997
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License Number State | NV
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