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General NPI Number Information
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NPI Number | 1659095933
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Entity Type | Individual
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Provider Name | CHRISTOPHER DENNIS MOYNIHAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 301 S PERIMETER PARK DR
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City | NASHVILLE
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State | TN
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Zip | 37211-4143
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Country | US
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Telephone | 207-232-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S PERIMETER PARK DR
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City | NASHVILLE
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State | TN
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Zip | 37211-4143
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Country | US
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Telephone | 207-232-0033
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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 | C015026
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 257274
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008868A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5818
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License Number State | TN
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