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General NPI Number Information
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NPI Number | 1639784291
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Entity Type | Individual
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Provider Name | CHRISTY ZEEGEN
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 15340 ALBRIGHT ST UNIT 105
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-2519
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Country | US
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Telephone | 310-486-3171
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Fax | 310-398-5690
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Provider Business Mailing Address
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Address Line | 15340 ALBRIGHT ST UNIT 105
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-2519
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Country | US
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Telephone | 310-486-3171
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Fax | 310-398-5690
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020505
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License Number State | CA
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