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General NPI Number Information
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NPI Number | 1356849343
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Entity Type | Individual
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Provider Name | KAREN DENISE PENDER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 200 E 2ND AVE
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City | FRANKLIN
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State | VA
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Zip | 23851-1506
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Country | US
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Telephone | 757-925-2295
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Fax | 757-925-2296
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Provider Business Mailing Address
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Address Line | 7025 HARBOUR VIEW BLVD STE 119
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City | SUFFOLK
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State | VA
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Zip | 23435-2762
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Country | US
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Telephone | 757-966-2805
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Fax | 757-673-2586
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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 | 0701007446
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License Number State | VA
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