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General NPI Number Information
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NPI Number | 1679752356
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Entity Type | Organization
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Legal Business Name | CHRISTAKIS MEDICINE M D P A
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 600 S DIXIE HWY STE 103
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City | BOCA RATON
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State | FL
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Zip | 33432-6034
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Country | US
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Telephone | 561-395-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S DIXIE HWY STE 103
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City | BOCA RATON
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State | FL
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Zip | 33432-6034
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Country | US
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Telephone | 561-395-1011
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | DENISE M MOYNIHAN
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Credential |
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Telephone | 561-395-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | FL
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