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General NPI Number Information
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NPI Number | 1437487733
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Entity Type | Individual
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Provider Name | ANNESE BAUM HUTCHINS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 209 COMMERCE DR STE A
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City | BRANDON
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State | MS
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Zip | 39042-2756
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Country | US
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Telephone | 601-420-2210
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Fax | 601-420-2210
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Provider Business Mailing Address
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Address Line | 209 COMMERCE DR STE A
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City | BRANDON
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State | MS
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Zip | 39042-2756
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Country | US
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Telephone | 601-420-2210
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Fax | 601-420-2210
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1469
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1469
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1469
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License Number State | MS
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