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General NPI Number Information
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NPI Number | 1417265034
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Entity Type | Organization
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Legal Business Name | LEXINGTON BAPTIST COUNSELING CENTER
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 224 E MAIN ST
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City | LEXINGTON
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State | SC
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Zip | 29072-3546
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Country | US
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Telephone | 803-808-5222
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Fax | 803-957-2082
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Provider Business Mailing Address
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Address Line | 224 E MAIN ST
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City | LEXINGTON
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State | SC
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Zip | 29072-3546
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Country | US
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Telephone | 803-808-5222
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Fax | 803-957-2082
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Authorized Official
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Title or Position | LMFT
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Name | ROBIN TEMPLES
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Credential | LMFT
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Telephone | 803-808-5222
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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 | 5050
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License Number State | SC
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