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General NPI Number Information
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NPI Number | 1346007796
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Entity Type | Individual
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Provider Name | DARLENE ROXANNE NAYLOR LPCA
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 2638 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29204-1454
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Country | US
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Telephone | 803-497-3374
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ABBERTON CT
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City | COLUMBIA
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State | SC
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Zip | 29229-9122
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Country | US
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Telephone | 803-917-7174
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8761
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License Number State | SC
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