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General NPI Number Information
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NPI Number | 1811269830
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Entity Type | Individual
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Provider Name | CHRISTINE M. TALLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 30387 US HIGHWAY 19 N
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City | CLEARWATER
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State | FL
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Zip | 33761-1053
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Country | US
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Telephone | 727-781-2955
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Fax |
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Provider Business Mailing Address
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Address Line | 1965 TEAL CIR
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City | GULF BREEZE
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State | FL
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Zip | 32563-8979
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Country | US
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Telephone | 859-797-6977
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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 | 12939754-3501
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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 | LC21653
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW25025
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-44957
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14755
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License Number State | LA
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