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General NPI Number Information
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NPI Number | 1356638738
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Entity Type | Individual
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Provider Name | ESTHER DUBIQUE LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 5286 WALLER CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5452
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Country | US
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Telephone | 757-713-7159
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 FORDHAM DR STE 105-199
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5345
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Country | US
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Telephone | 757-971-3715
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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 | 6256
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009587
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License Number State | VA
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