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General NPI Number Information
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NPI Number | 1659984961
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Entity Type | Individual
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Provider Name | CHRISTINE STALLINGS
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Gender | Female
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 140 MILL ST STE B
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City | GAHANNA
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State | OH
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Zip | 43230-6509
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Country | US
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Telephone | 614-284-4114
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Fax | 614-245-4389
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | NEW ALBANY
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State | OH
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Zip | 43054-0175
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Country | US
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Telephone |
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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 | APRN.CNP.0027429
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License Number State | OH
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