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General NPI Number Information
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NPI Number | 1235921750
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Entity Type | Individual
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Provider Name | CHRISTOPHER M QUIRINDONGO M.S NCC
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 4720 PEACHTREE INDUSTRIAL BLVD STE 4201
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City | BERKELEY LAKE
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State | GA
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Zip | 30071-5738
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Country | US
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Telephone | 404-900-9583
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 JOHNSON RD
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City | LOGANVILLE
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State | GA
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Zip | 30052-2987
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Country | US
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Telephone | 347-277-5321
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1737811
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License Number State | GA
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