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General NPI Number Information
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NPI Number | 1407171168
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Entity Type | Individual
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Provider Name | TAMRA M DUKE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2002 BREMO RD STE 204
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City | RICHMOND
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State | VA
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Zip | 23226-2441
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Country | US
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Telephone | 804-243-9062
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Fax |
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Provider Business Mailing Address
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Address Line | 13501 LAUGHTER CT
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City | CHESTER
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State | VA
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Zip | 23831-5218
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Country | US
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Telephone | 804-243-9062
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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 | 0701004637
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License Number State | VA
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