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General NPI Number Information
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NPI Number | 1447417274
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Entity Type | Individual
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Provider Name | CHRISTA A ATKINSON M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 110 W MAIN ST 2H
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City | CARRBORO
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State | NC
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Zip | 27510-2026
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Country | US
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Telephone | 919-338-1939
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Fax | 919-338-2729
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Provider Business Mailing Address
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Address Line | 136 EAST CHAPEL HILL ST. EL FUTURO
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City | DURHAM
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State | NC
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Zip | 27701
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Country | US
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Telephone | 919-688-7101
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Fax | 919-688-7102
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P004072
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License Number State | NC
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