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General NPI Number Information
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NPI Number | 1891554937
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Entity Type | Individual
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Provider Name | CHRISTINA MARY JAMES
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 90 S RIDGE ST STE 2-138
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City | RYE BROOK
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State | NY
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Zip | 10573-2811
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Country | US
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Telephone | 914-305-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BROAD ST APT 3612
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City | STAMFORD
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State | CT
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Zip | 06901-2004
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Country | US
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Telephone | 203-731-9378
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6503
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License Number State | CT
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