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General NPI Number Information
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NPI Number | 1265800908
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Entity Type | Individual
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Provider Name | TANYA SLOAN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1495 REMOUNT RD # 1C
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3320
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Country | US
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Telephone | 843-695-8454
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Fax | 843-804-9101
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Provider Business Mailing Address
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Address Line | 1495 REMOUNT RD # 1C
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3320
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Country | US
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Telephone | 843-695-8454
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Fax | 843-804-9101
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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 | 7551
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License Number State | SC
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