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General NPI Number Information
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NPI Number | 1265504880
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Entity Type | Individual
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Provider Name | CHRISTINE E MEINECKE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 309 COURT AVE #230
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City | DES MOINES
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State | IA
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Zip | 50309-2245
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Country | US
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Telephone | 515-699-8546
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Fax | 515-699-5847
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Provider Business Mailing Address
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Address Line | 309 COURT AVE #230
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City | DES MOINES
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State | IA
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Zip | 50309-2245
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Country | US
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Telephone | 515-699-8546
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Fax | 515-699-5847
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0543
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License Number State | IA
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