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General NPI Number Information
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NPI Number | 1326835141
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Entity Type | Individual
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Provider Name | MR. DOLAN AUSTIN NETHERCUTT
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 590 E MARKET ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-4241
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Country | US
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Telephone | 703-679-7396
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 PARK RD
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City | HARRISONBURG
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State | VA
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Zip | 22802-2404
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Country | US
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Telephone | 571-485-0385
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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 | 0704017988
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License Number State | VA
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