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General NPI Number Information
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NPI Number | 1528187788
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Entity Type | Individual
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Provider Name | CHRISTINE MARIA BITONTI PH.D, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 1209 WOODROW AVE STE B10
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City | MODESTO
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State | CA
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Zip | 95350-1273
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Country | US
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Telephone | 209-558-5312
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Fax | 209-558-5310
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Provider Business Mailing Address
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Address Line | PO BOX 1575
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City | JAMESTOWN
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State | CA
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Zip | 95327-1575
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Country | US
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Telephone | 209-984-3712
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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 | LCS6848
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License Number State | CA
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