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General NPI Number Information
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NPI Number | 1558631895
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Entity Type | Individual
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Provider Name | CHRISTINA FAITH PALANGIO LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 11529 BUCKEYE RD
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City | CLEVELAND
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State | OH
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Zip | 44104-3838
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Country | US
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Telephone | 216-456-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 11771 JASON AVE
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City | PAINESVILLE
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State | OH
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Zip | 44077-9515
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Country | US
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Telephone | 412-298-9975
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.0900319
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0900319SUPV
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License Number State | OH
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