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General NPI Number Information
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NPI Number | 1376017178
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Entity Type | Organization
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Legal Business Name | CHRISTI BEMISTER, PSYD, PLLC
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 117 N 1ST ST STE 103
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City | ANN ARBOR
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State | MI
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Zip | 48104-1354
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Country | US
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Telephone | 734-834-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 87 PRINCE PLACE DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-4015
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Country | US
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Telephone | 734-834-4429
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Fax | 734-786-2257
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTI LYNN BEMISTER
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Credential | PSYD, PLLC
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Telephone | 734-834-4429
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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 |
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License Number State |
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