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General NPI Number Information
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NPI Number | 1386953164
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Entity Type | Individual
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Provider Name | ROCHELLE M. NIGHTENGALE MS, LPC, C.R.C.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 3122 W MARSHALL ST STE 215
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City | RICHMOND
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State | VA
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Zip | 23230-4734
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Country | US
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Telephone | 804-337-3277
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Fax | 804-249-4127
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Provider Business Mailing Address
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Address Line | PO BOX 27872
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City | RICHMOND
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State | VA
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Zip | 23261-7872
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Country | US
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Telephone | 804-337-3277
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004858
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00051953
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License Number State | VA
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