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General NPI Number Information
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NPI Number | 1063678084
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Entity Type | Individual
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Provider Name | EMILY KIRBY LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 13600 MINNIEVILLE RD
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2369
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Country | US
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Telephone | 985-264-7204
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Fax | 772-334-2203
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Provider Business Mailing Address
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Address Line | 15335 EDGEHILL DR
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City | DUMFRIES
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State | VA
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Zip | 22025-1033
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Country | US
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Telephone | 985-264-7204
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 68577
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12039
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License Number State | FL
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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 | 3497
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License Number State | LA
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Taxonomy #4
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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 | VA
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Taxonomy #5
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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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