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General NPI Number Information
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NPI Number | 1932340684
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Entity Type | Individual
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Provider Name | CHRISTINE SUSAN HUFNAGEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 240 BATES ST
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City | LEWISTON
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State | ME
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Zip | 04240-7330
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Country | US
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Telephone | 207-645-8000
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Fax | 207-783-7489
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | WEST FARMINGTON
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State | ME
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Zip | 04992-0164
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Country | US
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Telephone | 207-645-8000
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Fax | 207-783-7489
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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 | LC10034
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License Number State | ME
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