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General NPI Number Information
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NPI Number | 1528541232
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Entity Type | Individual
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Provider Name | CHRISTINE ANDERSON MSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2018
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 23300 GREENFIELD RD STE 122
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City | OAK PARK
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State | MI
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Zip | 48237-8408
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Country | US
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Telephone | 248-968-9508
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Fax | 248-968-9516
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Provider Business Mailing Address
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Address Line | 6 CAMBRIDGE BLVD
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City | PLEASANT RIDGE
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State | MI
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Zip | 48069-1103
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Country | US
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Telephone | 773-315-6635
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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 | 6801092908
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License Number State | MI
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