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General NPI Number Information
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NPI Number | 1093089443
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Entity Type | Individual
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Provider Name | CHRISTOPHER LAWRENCE TOLLAND LPC
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Gender | Male
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 101 MAGUEY CT STE 1
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9513
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Country | US
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Telephone | 575-589-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 8217 EDGEMERE BLVD
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City | EL PASO
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State | TX
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Zip | 79925-3840
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Country | US
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Telephone | 915-760-0320
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66072
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License Number State | TX
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