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General NPI Number Information
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NPI Number | 1639397664
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Entity Type | Organization
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Legal Business Name | ANN M CHRISTIE PC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 57 EXCHANGE ST SUITE 403
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City | PORTLAND
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State | ME
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Zip | 04101-5000
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Country | US
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Telephone | 207-774-6300
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Fax | 207-775-4454
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Provider Business Mailing Address
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Address Line | 57 EXCHANGE ST SUITE 403
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City | PORTLAND
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State | ME
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Zip | 04101-5000
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Country | US
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Telephone | 207-774-6300
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Fax | 207-775-4454
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | ANN CHRISTIE
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Credential | PSYD
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Telephone | 207-774-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY002054
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 5524
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS1197
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License Number State | ME
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