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General NPI Number Information
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NPI Number | 1184780983
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Entity Type | Individual
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Provider Name | CHRISTIE M CHAMPOUX LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 10103 N DIVISION ST STE 203
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City | SPOKANE
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State | WA
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Zip | 99218-1381
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Country | US
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Telephone | 509-995-0780
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Fax | 509-465-1152
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Provider Business Mailing Address
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Address Line | 5019 E NANCY CT
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City | MEAD
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State | WA
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Zip | 99021-9437
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Country | US
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Telephone | 509-468-9627
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00004596
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW00004596
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LW00004596
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License Number State | WA
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