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General NPI Number Information
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NPI Number | 1366484370
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Entity Type | Individual
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Provider Name | PATRICK HENRY O'KEEFE LPC, NCC, CSAC
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 115 COASTAL WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4603
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Country | US
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Telephone | 757-548-0680
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Fax | 757-548-0681
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Provider Business Mailing Address
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Address Line | 115 COASTAL WAY
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4603
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Country | US
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Telephone | 757-548-0680
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Fax | 757-548-0681
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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 | 0701003813
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License Number State | VA
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