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General NPI Number Information
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NPI Number | 1770149155
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Entity Type | Individual
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Provider Name | CHRISTIE LYNN FIELDING
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Gender | Female
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Dates
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Enumeration Date | 05/11/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2911 N TENAYA WAY STE 215
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City | LAS VEGAS
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State | NV
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Zip | 89128-0495
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Country | US
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Telephone | 725-289-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 6229 HAWTHORN WOODS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89130-1388
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Country | US
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Telephone | 435-680-6017
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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 | 13370604-3501
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License Number State | UT
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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 | 9935-C
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License Number State | NV
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