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General NPI Number Information
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NPI Number | 1366147183
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Entity Type | Individual
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Provider Name | KELLY DARLENE HIGGINS
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 755 MARTIN LUTHER KING JR HWY
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City | HARRISONBURG
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State | VA
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Zip | 22807-1053
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Country | US
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Telephone | 540-568-1735
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 QUAKER RD
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City | QUINTON
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State | VA
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Zip | 23141-1900
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Country | US
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Telephone | 804-382-3972
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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 |
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License Number State |
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