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General NPI Number Information
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NPI Number | 1982751491
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Entity Type | Individual
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Provider Name | CHRISTINE BRASS BELL LSCSW, LCSW, LCAC,
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 3801 MIRANDA AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1290
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Country | US
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Telephone | 650-694-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MIRANDA AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1290
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Country | US
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Telephone | 650-694-6000
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 290
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 50079
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4161
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License Number State | KS
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