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General NPI Number Information
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NPI Number | 1235940479
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER EUGENE BIDDIX
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Gender | Male
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 20550 WARRIORS WAY
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City | MILFORD
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State | VA
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Zip | 22514
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Country | US
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Telephone | 804-529-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 7116 JOHN MARSHALL MEWS
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City | RUTHER GLEN
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State | VA
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Zip | 22546-5811
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Country | US
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Telephone | 717-747-6619
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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 | 0704016900
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License Number State | VA
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