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General NPI Number Information
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NPI Number | 1891498747
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Entity Type | Individual
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Provider Name | CHRISTINA ANAGONYE MD, MBA
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1526 CRONK AVE
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City | FLINT
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State | MI
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Zip | 48506-4322
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Country | US
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Telephone | 313-598-9395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 464725
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City | LAWRENCEVILLE
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State | GA
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Zip | 30042-4725
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Country | US
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Telephone |
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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