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General NPI Number Information
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NPI Number | 1104407626
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Entity Type | Individual
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Provider Name | ANNE CHAMBERLAIN OLIVER LPC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 11815 FOUNTAIN WAY STE 300-5409
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4448
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Country | US
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Telephone | 844-502-7283
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Fax | 757-517-0612
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Provider Business Mailing Address
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Address Line | 969 LACON DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-2526
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Country | US
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Telephone | 844-502-7283
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | VA
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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 | 0701010423
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License Number State | VA
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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 | 0701010423
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License Number State | VA
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