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General NPI Number Information
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NPI Number | 1700221306
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Entity Type | Individual
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Provider Name | CHRISTINA RENEE PERKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 4877 CHAMBLISS AVE
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City | KNOXVILLE
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State | TN
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Zip | 37919-5122
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Country | US
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Telephone | 865-924-2558
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Fax | 866-768-6708
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Provider Business Mailing Address
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Address Line | 7040 GHIRADELLI RD
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City | KNOXVILLE
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State | TN
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Zip | 37918-8440
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Country | US
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Telephone | 865-329-9105
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Fax | 865-246-2130
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6430
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License Number State | TN
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