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General NPI Number Information
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NPI Number | 1760607907
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES MESSINA SR. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3400 EXECUTIVE DR SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27609-7476
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Country | US
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Telephone | 919-878-0900
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Fax | 919-872-2456
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Provider Business Mailing Address
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Address Line | 113 SKYLARK WAY
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City | RALEIGH
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State | NC
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Zip | 27615-3033
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Country | US
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Telephone | 919-846-0603
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1101
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License Number State | NC
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