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General NPI Number Information
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NPI Number | 1962670943
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Entity Type | Individual
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Provider Name | CHRISTOPHER TODD DENDA PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | COUNSELING AND TESTING CTR BELL HALL, SUITE 123, ANDREWS UNIVERSITY
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49104-0130
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Country | US
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Telephone | 269-471-3470
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Fax | 269-471-3417
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Provider Business Mailing Address
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Address Line | COUNSELING AND TESTING CTR BELL HALL, SUITE 123, ANDREWS UNIVERSITY
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49104-0130
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Country | US
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Telephone | 269-471-3470
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Fax | 269-471-3417
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301013751
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License Number State | MI
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