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General NPI Number Information
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NPI Number | 1043803414
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Entity Type | Organization
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Legal Business Name | BLUE SKIES COUNSELING COACHING CONSULTING, LLC
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 968 SCENIC BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7321
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Country | US
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Telephone | 757-276-1009
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Fax | 757-760-3213
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Provider Business Mailing Address
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Address Line | 968 SCENIC BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7321
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Country | US
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Telephone | 757-276-1009
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Fax | 757-760-3213
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Authorized Official
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Title or Position | OWNER
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Name | CAPRI M TOPHOVEN
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Credential | MA, LPC
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Telephone | 757-276-1009
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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 |
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License Number State |
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