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General NPI Number Information
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NPI Number | 1891683553
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Entity Type | Individual
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Provider Name | CHRISTOPHER RYAN BELKNAP
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Gender | Male
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 990 S DIXIE BLVD STE 1
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City | RADCLIFF
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State | KY
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Zip | 40160-1296
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Country | US
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Telephone | 859-254-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 367 BIG OAK TRL
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City | RADCLIFF
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State | KY
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Zip | 40160-9749
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Country | US
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Telephone | 502-377-2655
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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 |
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License Number State |
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