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General NPI Number Information
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NPI Number | 1073308250
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Entity Type | Organization
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Legal Business Name | BRIGETTE FUNK LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 41 TURTLEBACK PATH RD
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City | HARDY
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State | VA
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Zip | 24101-3311
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Country | US
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Telephone | 540-529-8543
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Fax | 540-378-6044
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Provider Business Mailing Address
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Address Line | PO BOX 12204
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City | ROANOKE
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State | VA
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Zip | 24023-2204
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Country | US
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Telephone | 540-529-8543
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Fax | 540-378-6044
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIA WEAVER
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Credential |
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Telephone | 540-529-8543
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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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