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General NPI Number Information
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NPI Number | 1285752295
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Entity Type | Individual
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Provider Name | EILEEN T WEBERLING MED, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1701 EUCLID AVE SUITE K
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City | BRISTOL
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State | VA
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Zip | 24201-3700
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Country | US
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Telephone | 276-591-5700
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Fax | 276-591-5710
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Provider Business Mailing Address
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Address Line | 455 ARLINGTON AVE
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City | BRISTOL
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State | VA
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Zip | 24201-3505
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Country | US
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Telephone | 276-669-3217
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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 | 0701003561
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License Number State | VA
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