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General NPI Number Information
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NPI Number | 1245923192
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Entity Type | Organization
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Legal Business Name | CHRISTIE STIFF LMFT
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 97 NEWELL ST APT 1L
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City | BROOKLYN
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State | NY
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Zip | 11222-3329
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Country | US
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Telephone | 757-870-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 CENTRAL ST STE 6
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City | EVANSTON
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State | IL
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Zip | 60201-1288
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Country | US
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Telephone | 757-870-4546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA STIFF
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Credential | LMFT
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Telephone | 757-870-4546
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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 |
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License Number State |
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