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General NPI Number Information
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NPI Number | 1326565730
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Entity Type | Individual
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Provider Name | MICHELLE LYNN SOWARDS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3058 RIVER RD W
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City | GOOCHLAND
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State | VA
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Zip | 23063-3202
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Country | US
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Telephone | 804-556-5400
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Fax | 804-556-5403
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Provider Business Mailing Address
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Address Line | 2976 STONE CREEK DR
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City | SANDY HOOK
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State | VA
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Zip | 23153-2245
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Country | US
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Telephone |
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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 | 0701007238
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License Number State | VA
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