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General NPI Number Information
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NPI Number | 1225792120
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Entity Type | Individual
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Provider Name | SHAVAUGHN FELDER LPMCH, NCC, ACS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 27922 ROANOKE RAPIDS LNDG
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City | MILLSBORO
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State | DE
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Zip | 19966-7570
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Country | US
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Telephone | 302-542-0384
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Fax | 302-297-5526
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Provider Business Mailing Address
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Address Line | 27922 ROANOKE RAPIDS LNDG
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City | MILLSBORO
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State | DE
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Zip | 19966-7570
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Country | US
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Telephone | 302-542-0384
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Fax | 302-297-5526
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | DE
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