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General NPI Number Information
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NPI Number | 1245559798
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAUL CONTARDO PHD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 2500 NILES RD STE 5
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-3225
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Country | US
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Telephone | 692-810-4082
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Fax | 269-281-0465
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Provider Business Mailing Address
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Address Line | 2500 NILES RD STE 5
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-3225
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Country | US
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Telephone | 692-810-4082
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Fax | 269-281-0465
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301015377
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301015377
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License Number State | MI
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