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General NPI Number Information
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NPI Number | 1336220938
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Entity Type | Organization
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Legal Business Name | THERAPY ASSOCIATES OF DENBIGH, INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 12725 MCMANUS BLVD BLDG 2 SUITE G
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4402
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Country | US
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Telephone | 757-874-1676
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Fax | 757-874-2226
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Provider Business Mailing Address
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Address Line | 12725 MCMANUS BLVD BLDG 2 SUITE G
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4402
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Country | US
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Telephone | 757-874-1676
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Fax | 757-874-2226
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BETTIE A HAIGHT
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Credential |
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Telephone | 757-874-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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