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General NPI Number Information
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NPI Number | 1881123891
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Entity Type | Individual
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Provider Name | CHRISTINA ROCHELLE ESCALANTE MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 11090 SERENBE LN STE 320
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City | PALMETTO
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State | GA
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Zip | 30268-2474
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Country | US
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Telephone | 470-450-4729
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Fax | 470-275-0895
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Provider Business Mailing Address
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Address Line | 11090 SERENBE LN STE 320
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City | PALMETTO
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State | GA
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Zip | 30268-2474
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Country | US
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Telephone | 470-450-4729
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Fax | 470-275-0895
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 89680
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License Number State | GA
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