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General NPI Number Information
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NPI Number | 1164582235
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Entity Type | Individual
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Provider Name | VIRGINIA LEE NORFOLK LLPC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3611 N SAGINAW RD
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City | MIDLAND
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State | MI
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Zip | 48640-2384
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Country | US
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Telephone | 989-631-3230
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Fax | 989-633-1039
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Provider Business Mailing Address
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Address Line | 205 KENNELY RD UNIT A-18
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City | SAGINAW
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State | MI
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Zip | 48609-6775
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Country | US
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Telephone | 989-781-9589
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Fax | 989-631-1039
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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 | 6401007502
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License Number State | MI
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