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General NPI Number Information
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NPI Number | 1932610060
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Entity Type | Individual
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Provider Name | JESSICA CHRISTIE ND, CNS
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 2001 L ST NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20036-4955
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Country | US
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Telephone | 202-774-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 L STREET N.W. SUITE 500, 50063
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 202-774-9337
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU100000226
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NP-0091
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License Number State | DC
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