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General NPI Number Information
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NPI Number | 1336531987
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Entity Type | Organization
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Legal Business Name | COUNSELING AND TESTING SERVICES
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 4646 POPLAR AVE SUITE 417
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City | MEMPHIS
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State | TN
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Zip | 38117-4426
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Country | US
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Telephone | 901-509-8468
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Fax | 901-509-8470
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Provider Business Mailing Address
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Address Line | 4646 POPLAR AVE SUITE 417
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City | MEMPHIS
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State | TN
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Zip | 38117-4426
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Country | US
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Telephone | 901-509-8468
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Fax | 901-509-8470
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Authorized Official
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Title or Position | OWNER
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Name | PAULA HOLMES MILLER
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Credential |
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Telephone | 901-509-8468
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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 |
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License Number State |
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