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NPI 1396654570

NPI 1396654570 : CHRISTINE CLOSE : NEW WASHINGTON, OH

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General NPI Number Information
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    NPI Number           |    1396654570
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE CLOSE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/03/2026
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    Last Update Date     |    09/03/2026
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Provider Practice Location Address
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    Address Line         |    938 S KIBLER ST 
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    City                 |    NEW WASHINGTON
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    State                |    OH
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    Zip                  |    44854-9521
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    Country              |    US
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    Telephone            |    419-492-1021
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    Fax                  |    419-492-2039
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Provider Business Mailing Address
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    Address Line         |    938 S KIBLER ST 
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    City                 |    NEW WASHINGTON
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    State                |    OH
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    Zip                  |    44854-9521
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    Country              |    US
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    Telephone            |    419-492-1021
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    Fax                  |    419-492-2039
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    22466661
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    License Number State |    OH
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