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General NPI Number Information
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NPI Number | 1093345464
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Entity Type | Individual
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Provider Name | CHRISTOPHER B MESSINA LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 814-230-9111
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Fax | 814-313-1075
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Provider Business Mailing Address
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Address Line | 25320 NW 122ND AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-5016
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Country | US
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Telephone | 727-504-1350
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW139315
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License Number State | PA
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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 | CW025272
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License Number State | PA
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