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General NPI Number Information
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NPI Number | 1235337791
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Entity Type | Individual
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Provider Name | CHRISTIAN SHAWN CURTIS MS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 E NEW YORK AVE SUITE B
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City | DELAND
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State | FL
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Zip | 32724-5568
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Country | US
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Telephone | 386-738-5543
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Fax | 386-738-9821
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Provider Business Mailing Address
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Address Line | 2467 ANASTASIA DR
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-3305
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Country | US
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Telephone | 386-566-1887
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Fax | 386-738-9821
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT606
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License Number State | FL
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