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General NPI Number Information
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NPI Number | 1730578782
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Entity Type | Individual
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Provider Name | CHRISTINA MARIA NAOMI HOMMEL LPC, MAC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 250 CUSHMAN ST STE 4F
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City | FAIRBANKS
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State | AK
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Zip | 99701-4665
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Country | US
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Telephone | 907-385-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 998 MEADOW RUE AVE
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City | NORTH POLE
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State | AK
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Zip | 99705-5333
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Country | US
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Telephone | 334-733-2233
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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 | 131023
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License Number State | AK
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