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General NPI Number Information
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NPI Number | 1497704779
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Entity Type | Organization
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Legal Business Name | CHRISTIAN COUNSELORS INC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 2864 59TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34203-5377
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Country | US
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Telephone | 941-962-6878
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Fax |
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Provider Business Mailing Address
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Address Line | 2864 59TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34203-5377
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Country | US
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Telephone | 941-962-6878
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | LINDA BURKE
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Credential | LCSW
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Telephone | 941-962-6878
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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 | SW7203
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License Number State | FL
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