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General NPI Number Information
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NPI Number | 1770686750
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Entity Type | Individual
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Provider Name | CHRISTINE P GUSTUS MSW/LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 110 SKYLINE DRIVE
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-2601
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Country | US
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Telephone | 479-968-1298
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Fax | 479-890-5364
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Provider Business Mailing Address
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Address Line | 110 SKYLINE DRIVE
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-2601
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Country | US
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Telephone | 479-968-1298
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Fax | 479-890-5364
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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 | 1063-C
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License Number State | AR
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