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General NPI Number Information
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NPI Number | 1982678934
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Entity Type | Individual
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Provider Name | CHRISTINE A YUENGEL-BIENENFELD M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 1400 WESTGATE CENTER DR SUITE 200
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City | WINSTON-SALEM
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State | NC
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Zip | 27103-3104
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Country | US
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Telephone | 336-774-8636
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Fax | 336-774-0265
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Provider Business Mailing Address
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Address Line | 1400 WESTGATE CENTER DR SUITE 200
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City | WINSTON-SALEM
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State | NC
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Zip | 27103-3104
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Country | US
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Telephone | 336-774-8636
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Fax | 336-774-0265
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 9601111
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 9601111
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 9601111
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License Number State | NC
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