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General NPI Number Information
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NPI Number | 1790179034
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Entity Type | Individual
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Provider Name | CHRISTOPHER AKRIDGE I
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Gender | Male
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 951 EASTGATE LOOP RD BUILDING 5700, STE. 300
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5684
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Country | US
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Telephone | 423-855-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 197 CARMACK RD
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City | FLINTSTONE
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State | GA
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Zip | 30725-2433
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW 006039
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License Number State | GA
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