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General NPI Number Information
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NPI Number | 1861505893
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Entity Type | Individual
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Provider Name | CARY ANN CHRISTENSEN CRNFA
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 2801 LEMMON AVE STE 300
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City | DALLAS
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State | TX
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Zip | 75204
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Country | US
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Telephone | 214-220-2712
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 670039
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City | DALLAS
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State | TX
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Zip | 75367
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Country | US
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Telephone | 214-378-9898
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Fax | 214-378-9888
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 654234
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License Number State | TX
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