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General NPI Number Information
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NPI Number | 1114347721
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Entity Type | Individual
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Provider Name | NICK CHRISTY MSED, NCC, LPC
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 200 WEAVER DR
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City | GLENSHAW
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State | PA
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Zip | 15116-1425
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Country | US
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Telephone | 412-956-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WEAVER DR
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City | GLENSHAW
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State | PA
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Zip | 15116-1425
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Country | US
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Telephone | 412-956-5468
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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 | PC007386
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 4280748
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License Number State | PA
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