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General NPI Number Information
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NPI Number | 1689126823
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Entity Type | Individual
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Provider Name | CHRISTOPHER NEYLON
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Gender | Male
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 4840 HALEY RIDGE CT
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City | CUMMING
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State | GA
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Zip | 30028-8966
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Country | US
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Telephone | 708-207-4518
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 HALEY RIDGE CT
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City | CUMMING
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State | GA
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Zip | 30028-8966
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Country | US
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Telephone | 708-207-4518
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC014484
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License Number State | GA
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