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General NPI Number Information
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NPI Number | 1679282388
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Entity Type | Individual
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Provider Name | CHRISTINE GUTIERREZ NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 90 S 3RD ST
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City | BROOKLYN
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State | NY
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Zip | 11249-5103
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Country | US
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Telephone | 917-251-7947
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 432507
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License Number State | NY
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