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General NPI Number Information
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NPI Number | 1841247012
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Entity Type | Individual
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Provider Name | CHRISTINE J AMIS IV M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 923 ROUTE 6A SUNFLOWER MKT PLC UNIT N
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City | YARMOUTH PORT
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State | MA
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Zip | 02675-2159
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Country | US
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Telephone | 508-360-5195
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Fax | 508-544-4266
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Provider Business Mailing Address
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Address Line | 923 ROUTE 6A SUNFLOWER MKT PLC UNIT N
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City | YARMOUTH PORT
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State | MA
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Zip | 02675-2159
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Country | US
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Telephone | 508-360-5195
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Fax | 508-544-4266
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 219518
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License Number State | MA
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