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General NPI Number Information
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NPI Number | 1366157570
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Entity Type | Individual
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Provider Name | BRITTANY C SMITH MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 111 BULIFANTS BLVD STE B
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5711
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Country | US
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Telephone | 757-645-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 15040 SANDY POINT RD
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City | CHARLES CITY
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State | VA
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Zip | 23030-4029
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Country | US
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Telephone | 757-846-4353
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701012096
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License Number State | VA
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