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General NPI Number Information
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NPI Number | 1346565207
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Entity Type | Individual
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Provider Name | ANDREW GREGORY SKAGGS LPCC
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 948 ELM ST SUITE 2
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2277
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Country | US
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Telephone | 270-266-1188
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Fax | 270-908-2880
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Provider Business Mailing Address
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Address Line | 948 ELM ST SUITE 2
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2277
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Country | US
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Telephone | 270-266-1188
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Fax | 270-908-2880
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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 | 163465
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License Number State | KY
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