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General NPI Number Information
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NPI Number | 1417177031
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Entity Type | Organization
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Legal Business Name | LINDA DAVIS COUNSELING
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 2137 HOFFMEYER RD STE D
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City | FLORENCE
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State | SC
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Zip | 29501-4088
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Country | US
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Telephone | 843-615-0840
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Fax | 843-629-0055
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Provider Business Mailing Address
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Address Line | PO BOX 12254
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City | FLORENCE
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State | SC
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Zip | 29504-2254
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Country | US
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Telephone | 843-615-0840
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Fax | 843-629-0055
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. LINDA S DAVIS
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Credential | LPC
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Telephone | 843-615-0840
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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 | 2876
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License Number State | SC
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