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General NPI Number Information
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NPI Number | 1760150569
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Entity Type | Individual
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Provider Name | ELISHIA ANN CHRISTIANS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 249 5TH ST E
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City | TRACY
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State | MN
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Zip | 56175-1536
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Country | US
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Telephone | 507-629-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 16TH ST
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City | FULDA
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State | MN
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Zip | 56131-4435
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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 | 8489
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License Number State | MN
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