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General NPI Number Information
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NPI Number | 1346992062
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Entity Type | Organization
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Legal Business Name | VIRGINIA M. ANDREWS
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 1324 TROTWOOD AVE STE 6
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City | COLUMBIA
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State | TN
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Zip | 38401-4750
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Country | US
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Telephone | 931-223-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 513 RUSHMORE DR
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City | COLUMBIA
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State | TN
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Zip | 38401-6124
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Country | US
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Telephone | 931-223-5711
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | VIRGINIA ANDREWS
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Credential | LPC/MHSP
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Telephone | 931-223-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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