Basic Information
Provider Information
NPI: 1184992885
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIPIERO
FirstName: CHRISTINA
MiddleName:  
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NameSuffix:  
Credential:  
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Mailing Information
Address1: 5400 FRANTZ RD
Address2: STE 250
City: DUBLIN
State: OH
PostalCode: 430164144
CountryCode: US
TelephoneNumber: 6145446155
FaxNumber: 6145446370
Practice Location
Address1: 1040 DELAWARE AVE
Address2:  
City: MARION
State: OH
PostalCode: 433026416
CountryCode: US
TelephoneNumber: 7403838080
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/08/2011
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XNM12977OHY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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