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General NPI Number Information
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NPI Number | 1295177749
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Entity Type | Individual
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Provider Name | CHRISTINA FURNIVAL
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 330 MOSS ST
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City | CHULA VISTA
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State | CA
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Zip | 91911-2005
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Country | US
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Telephone | 619-628-2591
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 KANSAS ST APARTMENT 1
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City | SAN DIEGO
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State | CA
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Zip | 92116-3217
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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