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General NPI Number Information
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NPI Number | 1295406452
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Entity Type | Individual
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Provider Name | ANDREA BARTON DUNLAP LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 6 CHURCH ST
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City | BEDFORD
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State | KY
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Zip | 40006-1148
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Country | US
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Telephone | 859-869-9150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161
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City | BEDFORD
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State | KY
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Zip | 40006-0161
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Country | US
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Telephone | 502-255-7342
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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 | 286410
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License Number State | KY
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