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General NPI Number Information
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NPI Number | 1003354234
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Entity Type | Individual
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Provider Name | CHRISTINA STANG LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 101 PLAIN ST FL 6
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City | PROVIDENCE
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State | RI
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Zip | 02903-4829
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Country | US
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Telephone | 401-274-1122
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Fax | 401-453-7622
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Provider Business Mailing Address
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Address Line | 25 HOLLYWOOD RD
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City | PROVIDENCE
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State | RI
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Zip | 02909-1218
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Country | US
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Telephone | 860-966-3171
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 097343
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03007
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122217
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License Number State | MA
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