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General NPI Number Information
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NPI Number | 1295863561
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL AND COUNSELING SERVICES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 ELECTRIC RD
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City | SALEM
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State | VA
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Zip | 24153-7474
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Country | US
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Telephone | 540-776-4449
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10382
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City | BLACKSBURG
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State | VA
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Zip | 24062-0382
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Country | US
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Telephone | 540-776-4449
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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. DAVID H HARRISON
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Credential | PHD
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Telephone | 540-776-4449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0810001479
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License Number State | VA
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