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General NPI Number Information
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NPI Number | 1285191312
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Entity Type | Individual
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Provider Name | CHRISTIAN ERIC ERLENBUSH LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1344 DISC DR # 3127
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City | SPARKS
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State | NV
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Zip | 89436-0684
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Country | US
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Telephone | 949-603-2314
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Fax | 949-619-8133
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Provider Business Mailing Address
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Address Line | 1344 DISC DR # 3127
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City | SPARKS
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State | NV
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Zip | 89436-0684
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Country | US
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Telephone | 949-603-2314
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Fax | 949-619-8133
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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 | 82956
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.020877
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11948-C
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License Number State | NV
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