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General NPI Number Information
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NPI Number | 1043303043
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Entity Type | Organization
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Legal Business Name | SMITHFIELD CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 341 MAIN ST
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City | SMITHFIELD
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State | VA
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Zip | 23430-1345
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Country | US
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Telephone | 757-356-1813
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Fax | 757-356-1813
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Provider Business Mailing Address
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Address Line | 341 MAIN ST
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City | SMITHFIELD
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State | VA
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Zip | 23430-1345
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Country | US
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Telephone | 757-356-1813
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Fax | 757-356-1813
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Authorized Official
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Title or Position | SOLE PROVIDER UNDER THIS NAME
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Name | SHEILA D ROBINETTE
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Credential | LPC
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Telephone | 757-356-1813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002534
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License Number State | VA
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