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General NPI Number Information
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NPI Number | 1023492287
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Entity Type | Individual
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Provider Name | SHAMIQUIA N. MCPHERSON MA, LPC-S CANDIDATE
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 1627 AUBURN ST.
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-888-9058
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Fax | 803-724-6758
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Provider Business Mailing Address
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Address Line | 218 SOFT STONE DR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-8176
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Country | US
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Telephone | 803-888-9058
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Fax | 803-724-6758
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5835
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License Number State | SC
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