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General NPI Number Information
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NPI Number | 1700668332
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Entity Type | Individual
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Provider Name | CORENA MARIE CHRISTENSEN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 301 MILL RD STE U5
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City | HEWLETT
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State | NY
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Zip | 11557-1232
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Country | US
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Telephone | 443-383-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PERKINS PL UPPR
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City | BUFFALO
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State | NY
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Zip | 14213-1330
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Country | US
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Telephone | 585-880-6624
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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 | F351952-01
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License Number State | NY
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