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General NPI Number Information
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NPI Number | 1851767149
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE PETERS CNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 800 STE GENEVIEVE DR
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City | SAINTE GENEVIEVE
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State | MO
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Zip | 63670-1434
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Country | US
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Telephone | 573-880-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 8848 N HIGHWAY 61
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City | PERRYVILLE
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State | MO
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Zip | 63775-6121
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Country | US
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Telephone | 573-880-8372
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2015029765
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License Number State | MO
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