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General NPI Number Information
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NPI Number | 1265810402
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Entity Type | Individual
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Provider Name | CHRISTINA MARIA CHANEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 120 S MAPLE ST STE 2
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City | WINCHESTER
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State | KY
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Zip | 40391-1928
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Country | US
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Telephone | 859-987-5090
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Fax | 859-987-5006
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | WINCHESTER
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State | KY
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Zip | 40392-0336
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Country | US
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Telephone | 859-927-3013
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Fax | 859-203-0662
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3734
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License Number State | KY
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