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General NPI Number Information
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NPI Number | 1144630674
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Entity Type | Individual
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Provider Name | VANESSA S SAMPSON-SCHNEIDER LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 1636 W COLONIAL DR
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City | SALISBURY
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State | NC
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Zip | 28144-2265
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Country | US
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Telephone | 904-701-7813
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Fax | 904-212-6315
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Provider Business Mailing Address
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Address Line | 1636 W COLONIAL DR
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City | SALISBURY
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State | NC
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Zip | 28144-2265
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Country | US
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Telephone | 904-701-7813
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Fax | 904-212-6315
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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 | MH 12379
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License Number State | FL
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