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General NPI Number Information
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NPI Number | 1972198216
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Entity Type | Individual
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Provider Name | CHRISTINA DELEON
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 801 AFFIRMATION BLVD APT 500
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City | CHARLESTON
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State | SC
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Zip | 29412-4975
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Country | US
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Telephone | 912-508-5536
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Fax |
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Provider Business Mailing Address
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Address Line | 520 FOLLY RD STE 25 PMB 162
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City | CHARLESTON
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State | SC
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Zip | 29412
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Country | US
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Telephone | 843-425-4072
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Fax | 843-459-7476
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 11553
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | LC000117
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License Number State | GA
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