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NPI 1629967757

NPI 1629967757 : ANA DEBORAH CHRISTOPH MTL : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1629967757
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    Entity Type          |    Individual 
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    Provider Name        |    ANA DEBORAH CHRISTOPH MTL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2025
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    ZEEL 45 W 45 TH ST
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023
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    Country              |    US
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    Telephone            |    877-435-9335
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    160 EDEN XING 
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    City                 |    ADKINS
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    State                |    TX
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    Zip                  |    78101-2769
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    Country              |    US
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    Telephone            |    951-434-9277
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    76950
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    License Number State |    CA
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