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General NPI Number Information
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NPI Number | 1083439301
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Entity Type | Individual
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Provider Name | DONNA CELESTE CLEVENGER
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4549 MALUS DR
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City | SALEM
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State | VA
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Zip | 24153-7921
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Country | US
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Telephone | 540-562-3900
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Fax | 540-387-6347
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Provider Business Mailing Address
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Address Line | 4549 MALUS DR
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City | SALEM
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State | VA
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Zip | 24153-7921
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Country | US
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Telephone | 540-562-3900
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Fax | 540-387-6347
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | PPS-536174
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License Number State | VA
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