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General NPI Number Information
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NPI Number | 1134011802
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Entity Type | Individual
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Provider Name | SHELLY STIER
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 110 MANLY ST
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City | GREENVILLE
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State | SC
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Zip | 29601-3025
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Country | US
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Telephone | 803-315-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MANLY STREET
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City | GREER
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State | SC
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Zip | 29650-2779
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Country | US
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Telephone | 864-256-1509
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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 | 10536
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License Number State | SC
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