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General NPI Number Information
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NPI Number | 1124913298
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Entity Type | Individual
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Provider Name | DAIJAH GOLDEN LPC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | PO BOX 23
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City | RUTHER GLEN
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State | VA
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Zip | 22546-0023
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Country | US
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Telephone | 804-238-4099
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 WENDEN WAY
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City | ASHLAND
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State | VA
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Zip | 23005-2284
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Country | US
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Telephone | 804-238-4099
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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 |
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License Number State | VA
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