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General NPI Number Information
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NPI Number | 1669129177
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Entity Type | Individual
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Provider Name | CHRISTIAN MARIE SHIPLETT CDCA
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 333 S MAIN ST STE 105
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City | AKRON
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State | OH
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Zip | 44308-1210
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Country | US
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Telephone | 234-334-1223
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Fax | 234-334-1228
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Provider Business Mailing Address
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Address Line | 316 1/2 TUSCARAWAS AVE NW
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-1537
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Country | US
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Telephone | 330-347-9116
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 168513
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 180327
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License Number State | OH
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