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General NPI Number Information
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NPI Number | 1760881395
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Entity Type | Individual
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Provider Name | CHRISTINE LYN ATCHISON APN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 702 W CHESTNUT ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701-2814
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Country | US
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Telephone | 309-557-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 511 SHADOW LN
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City | DECATUR
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State | IL
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Zip | 62526-1146
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Country | US
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Telephone | 217-840-9268
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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 | 209011698
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License Number State | IL
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