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General NPI Number Information
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NPI Number | 1437443546
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Entity Type | Individual
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Provider Name | VIRGINIA TAYLOR STEGALL EDS, LMHC, AND LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 728 NE 7TH ST
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City | TRENTON
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State | FL
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Zip | 32693-3637
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Country | US
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Telephone | 352-487-0064
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Fax | 352-244-0464
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Provider Business Mailing Address
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Address Line | 117 MAGNOLIA CT
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City | MELROSE
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State | FL
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Zip | 32666-4128
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Country | US
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Telephone | 352-339-6791
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 2547
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 1432
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License Number State | FL
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