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General NPI Number Information
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NPI Number | 1295886141
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Entity Type | Individual
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Provider Name | THOMAS ELIAS CHRISTOU LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 31-28 41 STREET
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City | ASTORIA
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State | NY
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Zip | 11102
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Country | US
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Telephone | 917-751-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 23RD TER
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City | ASTORIA
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State | NY
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Zip | 11105-3725
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Country | US
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Telephone | 718-626-5252
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R051150-1
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License Number State | NY
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