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General NPI Number Information
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NPI Number | 1912586967
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Entity Type | Individual
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Provider Name | CHRISTINA SHOHATEE NP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 26763 FORD RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2840
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Country | US
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Telephone | 313-827-1022
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Fax | 313-827-1031
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704339566
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License Number State | MI
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