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General NPI Number Information
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NPI Number | 1114129228
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES ANDERSON LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2089 THIRD AVE JWJ COUNSELING CENTER UNION SETTLEMENT ASSOCIATION
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-828-6171
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Fax | 212-828-6145
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Provider Business Mailing Address
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Address Line | 78-11 35TH AVE #1B
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 212-828-6171
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Fax | 212-828-6145
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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