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General NPI Number Information
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NPI Number | 1376991034
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Entity Type | Organization
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Legal Business Name | CHRISTINE A. FILA LCSW, LLC
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 405 N COOPER ST
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City | SILVER CITY
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State | NM
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Zip | 88061-4930
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Country | US
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Telephone | 617-750-3346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 833
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City | SILVER CITY
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State | NM
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Zip | 88062-0833
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Country | US
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Telephone | 617-750-3346
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH CLINICIAN
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Name | CHRISTINE A FILA
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Credential |
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Telephone | 617-750-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-09105
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License Number State | NM
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