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General NPI Number Information
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NPI Number | 1104275395
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Entity Type | Organization
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Legal Business Name | MY LIFE MATTERS,LLC
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 900 GREENVILLE DR SUITE B
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City | WILLIAMSTON
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State | SC
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Zip | 29697-1130
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Country | US
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Telephone | 864-847-1818
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Fax | 864-847-5706
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Provider Business Mailing Address
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Address Line | 900 GREENVILLE DR SUITE B
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City | WILLIAMSTON
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State | SC
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Zip | 29697-1130
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Country | US
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Telephone | 864-847-1818
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Fax | 864-847-5706
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Authorized Official
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Title or Position | PARTNER
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Name | DEBRA B CHAPMAN
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Credential |
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Telephone | 864-847-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1634
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License Number State | SC
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