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General NPI Number Information
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NPI Number | 1306052196
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Entity Type | Individual
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Provider Name | ROOHI S KHAN MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 200 2ND ST PERCEPTIONS LLC
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City | ELKINS
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State | WV
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Zip | 26241-3806
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Country | US
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Telephone | 304-636-2262
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Fax | 304-637-2818
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Provider Business Mailing Address
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Address Line | 114 GRANDVIEW AVE
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-904-1126
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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