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General NPI Number Information
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NPI Number | 1184216020
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Entity Type | Individual
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Provider Name | MR. MARK LANCET
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Gender | Male
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 9846 LORI RD
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6695
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Country | US
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Telephone | 540-968-3190
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Fax |
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Provider Business Mailing Address
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Address Line | 5519 ARAPAHO RD APT 414
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City | DALLAS
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State | TX
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Zip | 75248-3648
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Country | US
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Telephone | 540-968-3190
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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 | 002870
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License Number State | PA
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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 | 0701009758
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License Number State | VA
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