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General NPI Number Information
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NPI Number | 1215135587
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Entity Type | Organization
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Legal Business Name | DEBRA L WELPE LCSW LLC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 5267 GREENWICH RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6028
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Country | US
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Telephone | 757-552-0884
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Fax | 757-552-0887
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Provider Business Mailing Address
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Address Line | 5267 GREENWICH RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6028
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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 | OWNER
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Name | DEBRA L WELPE
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Credential | LCSW
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Telephone | 757-552-0884
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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 | 0904004795
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License Number State | VA
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