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General NPI Number Information
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NPI Number | 1487510111
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Entity Type | Organization
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Legal Business Name | CHRISTINE ADDISON LLC
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1451 NE 69TH PL STE 41
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City | ANKENY
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State | IA
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Zip | 50021-8905
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Country | US
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Telephone | 307-254-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 600 PARK AVE
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City | DES MOINES
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State | IA
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Zip | 50315-7639
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Country | US
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Telephone | 307-254-4450
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Fax |
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Authorized Official
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Title or Position | PRIMARY THERAPIST
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Name | CHRISTINE ADDISON
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Credential | LMFT
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Telephone | 307-254-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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