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General NPI Number Information
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NPI Number | 1720545767
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE ROPP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 2990 GULF BREEZE PKWY STE A
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City | GULF BREEZE
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State | FL
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Zip | 32563-3100
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Country | US
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Telephone | 850-463-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 7216 MANATEE ST
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City | NAVARRE
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State | FL
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Zip | 32566-7700
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Country | US
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Telephone | 773-844-1289
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16735
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 130455
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License Number State | AK
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