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General NPI Number Information
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NPI Number | 1356283329
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Entity Type | Individual
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Provider Name | CHRISTINA LEE DILEY MS
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Gender | Female
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 220 E FORSYTH ST STE F
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3364
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Country | US
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Telephone | 904-206-7499
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Fax |
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Provider Business Mailing Address
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Address Line | 4148 BECKY ST
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City | MIDDLEBURG
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State | FL
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Zip | 32068-7101
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Country | US
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Telephone | 904-206-7499
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH28186
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License Number State | FL
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