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General NPI Number Information
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NPI Number | 1427720283
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Entity Type | Individual
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Provider Name | MICHELLE J WHITLOW-BLANDING LPC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1120 SPARKLEBERRY LANE EXT STE B
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City | COLUMBIA
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State | SC
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Zip | 29223-7078
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Country | US
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Telephone | 803-967-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 HARDSCRABBLE ROAD APT. 405
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City | COLUMBIA SC
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State | SC
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Zip | 29229-1298
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Country | US
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Telephone | 803-967-9313
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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 | 8575
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License Number State | SC
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