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General NPI Number Information
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NPI Number | 1750485181
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Entity Type | Individual
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Provider Name | MS. CHRISTINA TIPTON
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 935 W 2100 N
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City | PLEASANT VIEW
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State | UT
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Zip | 84404-6500
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Country | US
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Telephone | 859-661-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 SIR BARTON WAY STE 140
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City | LEXINGTON
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State | KY
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Zip | 40509-2437
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Country | US
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Telephone | 859-661-9660
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 257351
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License Number State | KY
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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 | 13617473-3501
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License Number State | UT
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