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General NPI Number Information
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NPI Number | 1336349968
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Entity Type | Individual
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Provider Name | CHRIS MICHAEL FRONT PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2007
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 800 INDEPENDENCE AVE SW FAA, OFFICE OF AEROSPACE MEDICINE, RM 328
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City | WASHINGTON
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State | DC
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Zip | 20591-0001
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Country | US
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Telephone | 202-267-3767
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Fax |
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Provider Business Mailing Address
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Address Line | 800 INDEPENDENCE AVE SW FAA, OFFICE OF AEROSPACE MEDICINE, RM 328
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City | WASHINGTON
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State | DC
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Zip | 20591-0001
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Country | US
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Telephone | 202-267-3767
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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 | 048-0000766
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License Number State | VT
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