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General NPI Number Information
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NPI Number | 1134257256
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Entity Type | Individual
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Provider Name | MARIE PAYNE CLORE ED.S.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 897 HENDRICK ST
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City | CULPEPER
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State | VA
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Zip | 22701-2201
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Country | US
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Telephone | 540-229-8852
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 WILDWOOD CIR
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City | AMISSVILLE
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State | VA
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Zip | 20106-2501
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Country | US
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Telephone | 540-229-8852
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Fax | 504-937-7531
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0803000113
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0803000113
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License Number State | VA
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