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General NPI Number Information
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NPI Number | 1043872187
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Entity Type | Organization
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Legal Business Name | 7 DIMENSIONS OF HEALTH
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 500 S KAMINSKI ST
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City | GEORGETOWN
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State | SC
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Zip | 29440-3435
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Country | US
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Telephone | 843-932-7217
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51
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City | GEORGETOWN
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State | SC
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Zip | 29442-0051
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Country | US
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Telephone | 843-932-7217
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | EBONY HUGHES
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Credential |
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Telephone | 843-254-7108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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