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General NPI Number Information
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NPI Number | 1972986867
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Entity Type | Individual
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Provider Name | MICHELE L. G. CHRISTMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 4 PARK PLZ
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City | WYOMISSING
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State | PA
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Zip | 19610
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Country | US
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Telephone | 610-777-0705
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PARK PLZ STE 204B
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City | WYOMISSING
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State | PA
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Zip | 19610-1398
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Country | US
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Telephone | 484-877-0038
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000717
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License Number State | PA
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