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General NPI Number Information
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NPI Number | 1073884730
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Entity Type | Individual
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Provider Name | CHRISTINE JAVIER
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 1561 GREYSON RDG
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City | MARIETTA
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State | GA
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Zip | 30062-7204
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Country | US
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Telephone | 404-964-8533
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Fax |
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Provider Business Mailing Address
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Address Line | 1561 GREYSON RDG
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City | MARIETTA
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State | GA
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Zip | 30062-7204
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Country | US
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Telephone | 404-964-8533
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Fax | 888-400-0765
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 416883
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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