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NPI 1477681906

NPI 1477681906 : CHRISTINE MACRI L.C.S.W. : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1477681906
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE MACRI L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2007
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    Last Update Date     |    11/21/2014
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Provider Practice Location Address
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    Address Line         |    5821 STAPLES MILL RD 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23228-5427
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    Country              |    US
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    Telephone            |    804-624-9516
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3442 
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    City                 |    NORTH CHESTERFIELD
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    State                |    VA
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    Zip                  |    23235-7442
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    Country              |    US
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    Telephone            |    804-624-9516
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    R070449
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    0904007961
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    License Number State |    VA
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