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General NPI Number Information
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NPI Number | 1235386475
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Entity Type | Individual
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Provider Name | JO ANN SHOEMAKER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 40 LAMBERT ST 222
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City | STAUNTON
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State | VA
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Zip | 24401-2446
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Country | US
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Telephone | 540-886-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 111 VALLEY VIEW AVE
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City | MOUNT SIDNEY
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State | VA
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Zip | 24467-2205
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Country | US
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Telephone | 540-280-4086
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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 | 0701004412
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License Number State | VA
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