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General NPI Number Information
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NPI Number | 1134407349
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Entity Type | Individual
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Provider Name | VIRGINIA BIZZELL MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 5100 POPLAR AVE FL 27
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City | MEMPHIS
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State | TN
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Zip | 38137-2701
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Country | US
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Telephone | 415-424-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 ESTERS BLVD STE 900
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City | IRVING
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State | TX
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Zip | 75063-2233
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Country | US
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Telephone |
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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 | 180.016529
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC017897
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License Number State | PA
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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 | 96669
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11420-125
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3056
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License Number State | TN
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