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General NPI Number Information
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NPI Number | 1922948025
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Entity Type | Individual
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Provider Name | CHRISTINE THERESA GOTELLI
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Gender | Female
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 40597 WESTLAKE DR
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City | OAKHURST
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State | CA
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Zip | 93644-9024
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Country | US
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Telephone | 559-683-5300
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Fax | 559-683-5303
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Provider Business Mailing Address
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Address Line | 29618 RUNNING DEER WAY
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City | COARSEGOLD
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State | CA
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Zip | 93614-9669
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Country | US
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Telephone | 559-683-5300
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Fax | 559-683-5303
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95039099
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License Number State | CA
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