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General NPI Number Information
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NPI Number | 1639014954
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Entity Type | Individual
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Provider Name | TERESA CHRISTOPHER QMHP-T, IAYT
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 9217 BIG SPRINGS LOOP
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City | BRISTOW
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State | VA
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Zip | 20136-2112
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Country | US
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Telephone | 301-312-4255
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Fax |
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Provider Business Mailing Address
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Address Line | 9217 BIG SPRINGS LOOP
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City | BRISTOW
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State | VA
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Zip | 20136-2112
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Country | US
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Telephone | 301-312-4255
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0734014401
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License Number State | VA
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