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General NPI Number Information
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NPI Number | 1841331998
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Entity Type | Individual
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Provider Name | ERIK CHRISTENSEN LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/31/2016
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Provider Practice Location Address
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Address Line | 19027 S JODI RD SUITE H
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City | MOKENA
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State | IL
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Zip | 60448-8546
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Country | US
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Telephone | 773-758-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 FIELDSTONE DR N
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City | SHOREWOOD
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State | IL
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Zip | 60431-8107
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Country | US
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Telephone | 815-729-0831
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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 | 149012322
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License Number State | IL
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