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General NPI Number Information
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NPI Number | 1801361654
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Entity Type | Individual
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Provider Name | CHRISTINE ANDRE PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 7600 CAMINO REAL
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City | BOCA RATON
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State | FL
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Zip | 33433-5514
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Country | US
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Telephone | 561-235-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 SW 120TH TER
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City | DAVIE
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State | FL
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Zip | 33325-4602
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Country | US
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Telephone | 954-980-7755
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAT9111690
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6445
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9111690
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License Number State | FL
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