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General NPI Number Information
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NPI Number | 1659603389
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Entity Type | Individual
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Provider Name | DENA J CHRISTIANSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 12184 SW 52ND CT
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City | COOPER CITY
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State | FL
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Zip | 33330-4282
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Country | US
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Telephone | 954-252-9459
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Fax |
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Provider Business Mailing Address
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Address Line | 4970 SW 167 AVE
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33331
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Country | US
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Telephone | 954-252-9459
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2151582
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License Number State | FL
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