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General NPI Number Information
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NPI Number | 1316972565
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Entity Type | Individual
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Provider Name | CHRISTINE A GRAY PSY D
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 10 MINOT AVENUE
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City | AUBURN
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State | ME
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Zip | 04210
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Country | US
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Telephone | 207-333-3308
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Fax | 207-333-3309
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Provider Business Mailing Address
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Address Line | 10 MINOT AVENUE
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City | AUBURN
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State | ME
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Zip | 04210
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Country | US
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Telephone | 207-333-3308
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Fax | 207-333-3309
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS883
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PS883
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PS883
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License Number State | ME
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