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General NPI Number Information
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NPI Number | 1821700733
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH WERNER NP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1 N COLLEGE AVE
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City | MARIONVILLE
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State | MO
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Zip | 65705-9269
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Country | US
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Telephone | 417-463-7301
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Fax |
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Provider Business Mailing Address
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Address Line | 332 S MAIN AVE
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City | REPUBLIC
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State | MO
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Zip | 65738-1861
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Country | US
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Telephone | 417-732-5050
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2014006044
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023004710
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License Number State | MO
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