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General NPI Number Information
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NPI Number | 1285861070
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALAN MERCHANT PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 703-362-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 3851 ROGER BROOKE DRIVE MCHE-QD (CREDS)
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-6200
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Country | US
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Telephone | 210-916-2460
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Fax |
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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 | 4242
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License Number State | AZ
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