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General NPI Number Information
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NPI Number | 1316766058
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Entity Type | Individual
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Provider Name | CHRISTOPHER PERRY ACORD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 110 READING AVE
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City | JONESVILLE
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State | MI
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Zip | 49250-1136
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Country | US
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Telephone | 517-849-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 518 REEF CT
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City | PLEASANT LAKE
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State | MI
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Zip | 49272-9804
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Country | US
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Telephone | 517-416-3158
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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