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General NPI Number Information
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NPI Number | 1174896641
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Entity Type | Organization
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Legal Business Name | BILLIE JEANETTE HUNT LCSW PC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 325 CUMMINGS ST SUITE 4
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City | ABINGDON
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State | VA
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Zip | 24210-3207
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Country | US
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Telephone | 276-619-1198
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Fax | 276-496-0075
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | SALTVILLE
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State | VA
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Zip | 24370-0041
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Country | US
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Telephone | 276-619-1198
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Fax | 276-496-0075
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Authorized Official
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Title or Position | OWNER
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Name | BILLIE JEANETTE HUNT
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Credential | LCSW
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Telephone | 276-619-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003295
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License Number State | VA
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