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General NPI Number Information
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NPI Number | 1659561405
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Entity Type | Individual
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Provider Name | KRISTI L CHRISTMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1350 HICKORY ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3224
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Country | US
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Telephone | 321-434-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 KING ST STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32204
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Country | US
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Telephone | 904-384-3343
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Fax | 904-400-6671
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9111995
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MPA.5336PA
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9111995
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License Number State | FL
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