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General NPI Number Information
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NPI Number | 1821380635
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Entity Type | Individual
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Provider Name | NYSSA ANN CHRISTIE D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 23250 MERCANTILE RD., SUITE 120
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-591-1600
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Fax | 216-595-1653
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Provider Business Mailing Address
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Address Line | 10421 CHILLICOTHE RD
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City | KIRTLAND
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State | OH
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Zip | 44094-9504
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Country | US
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Telephone | 440-289-3990
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 003707
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License Number State | OH
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