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General NPI Number Information
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NPI Number | 1265121024
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Entity Type | Organization
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Legal Business Name | PRIME SOLUTIONS CONSULTING INC
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 20755 WILLIAMSPORT PL STE 390
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City | ASHBURN
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State | VA
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Zip | 20147-6523
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Country | US
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Telephone | 706-329-8508
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Fax |
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Provider Business Mailing Address
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Address Line | 43356 SOUTHLAND ST
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City | ASHBURN
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State | VA
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Zip | 20148-7556
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Country | US
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Telephone | 706-329-8506
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KESHIA EASTERLING
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Credential | PHD, LPC, LMHC
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Telephone | 706-329-8508
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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 |
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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 |
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License Number State |
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