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General NPI Number Information
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NPI Number | 1003175894
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Entity Type | Organization
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Legal Business Name | NOBILITY COUNSELING & CONSULTATION, LLC
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 5305 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23230-2627
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Country | US
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Telephone | 804-554-1899
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 W BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23230-2627
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Country | US
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Telephone | 804-554-1899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TRINA MARIE NOBLE-MCINNIS
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Credential | LPC
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Telephone | 804-554-1899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 0701004698
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License Number State | VA
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