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General NPI Number Information
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NPI Number | 1629674312
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Entity Type | Individual
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Provider Name | CHRISTA REED FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 4118 FIRSTVIEW DR
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City | AUSTIN
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State | TX
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Zip | 78731-3915
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Country | US
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Telephone | 817-366-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 5707 SAGEBRUSH TRL
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City | ARLINGTON
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State | TX
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Zip | 76017-1116
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Country | US
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Telephone | 817-366-8292
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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 | AP61084529
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License Number State | WA
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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 | 95015518
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License Number State | CA
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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 | 832139
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1002205
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License Number State | TX
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