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General NPI Number Information
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NPI Number | 1356094189
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Entity Type | Individual
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Provider Name | ERIN MOSES MOTLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 245 HAIRSTON ST
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City | DANVILLE
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State | VA
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Zip | 24540-4137
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Country | US
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Telephone | 434-483-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 173 CANTERBURY LN
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City | RIDGEWAY
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State | VA
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Zip | 24148-3309
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Country | US
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Telephone | 276-732-6336
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701011166
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License Number State | VA
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