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General NPI Number Information
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NPI Number | 1992072656
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Entity Type | Individual
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Provider Name | TRINA L CHRISTNER-RENFROE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 119 E. WASHINGTON FLORIDA STATE HOSPITAL, BUILDING 1214, LANDIS HALL, ROOM 1090
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City | CHATTAHOOCHEE
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State | FL
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Zip | 32324-1000
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Country | US
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Telephone | 850-663-7706
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Fax | 850-663-7011
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Provider Business Mailing Address
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Address Line | PO BOX 1000
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City | CHATTAHOOCHEE
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State | FL
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Zip | 32324-1000
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Country | US
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Telephone | 850-663-7706
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Fax | 850-663-7011
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PY6564
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License Number State | FL
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