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General NPI Number Information
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NPI Number | 1235783556
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Entity Type | Individual
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Provider Name | TONIA KENDALL VINECOMBE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 605 CALVERT ST
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City | STAUNTON
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State | VA
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Zip | 24401-4754
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Country | US
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Telephone | 540-319-4215
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Fax |
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Provider Business Mailing Address
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Address Line | 2611 W MAIN ST STE 8
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City | WAYNESBORO
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State | VA
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Zip | 22980-1600
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Country | US
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Telephone | 540-319-4215
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701006745
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License Number State | VA
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