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General NPI Number Information
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NPI Number | 1033323944
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN CHIAO D.O
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 5999 BURKE COMMONS RD
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City | BURKE
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State | VA
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Zip | 22015-2880
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Country | US
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Telephone | 703-249-7200
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Fax | 703-249-7266
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-271-6144
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | FC1986035
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 250308
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | OS022365
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License Number State | VA
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