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General NPI Number Information
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NPI Number | 1982188983
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Entity Type | Organization
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Legal Business Name | CHRISTINE DUNN, LLC
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 120 HOLMES AVE NE STE 400
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4830
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Country | US
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Telephone | 256-808-9557
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Fax |
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Provider Business Mailing Address
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Address Line | 112 JEWELL COBB CT
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-8533
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Country | US
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Telephone | 256-683-0338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE DUNN
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Credential | LICSW, PIP
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Telephone | 256-808-9557
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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 |
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License Number State |
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