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General NPI Number Information
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NPI Number | 1255707931
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Entity Type | Individual
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Provider Name | TALEISHA ELLERBE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 8119 HOLLAND RD
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3135
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Country | US
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Telephone | 571-567-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 7802 ELROY PL
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City | OXON HILL
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State | MD
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Zip | 20745-1428
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Country | US
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Telephone | 301-646-9701
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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 | PRC14383
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License Number State | DC
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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 | 0701008264
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License Number State | VA
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