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General NPI Number Information
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NPI Number | 1750822268
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Entity Type | Individual
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Provider Name | CHRISTINA THOMASON LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 3315 GREENLEAF BLVD
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City | KALAMAZOO
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State | MI
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Zip | 49008-2516
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Country | US
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Telephone | 269-281-3886
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Fax | 269-390-3117
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Provider Business Mailing Address
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Address Line | 50068 29 1/2 ST
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City | PAW PAW
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State | MI
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Zip | 49079-8028
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Country | US
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Telephone | 269-547-0006
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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 | 6901104972
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License Number State | MI
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