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General NPI Number Information
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NPI Number | 1881973691
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Entity Type | Organization
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Legal Business Name | LISA ABERNETHY CHRISTMAN, M.D., DERMATOLOGY, P.A.
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 3900 BROWNING PL STE 202
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City | RALEIGH
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State | NC
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Zip | 27609-6508
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Country | US
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Telephone | 919-782-2735
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Fax | 919-782-2839
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Provider Business Mailing Address
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Address Line | 3900 BROWNING PL STE 202
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City | RALEIGH
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State | NC
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Zip | 27609-6508
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Country | US
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Telephone | 919-782-2735
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Fax | 919-782-2839
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA ABERNETHY CHRISTMAN
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Credential | M.D.
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Telephone | 919-782-2735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 9400184
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License Number State | NC
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