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General NPI Number Information
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NPI Number | 1447733886
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Entity Type | Individual
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Provider Name | GREGORY AMODEO LPC
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Gender | Male
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 804 MOOREFIELD PARK DR STE 204
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3670
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Country | US
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Telephone | 804-372-3737
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Fax | 804-585-1026
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Provider Business Mailing Address
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Address Line | 718 W OLD MOUNTAIN RD
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City | LOUISA
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State | VA
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Zip | 23093-6329
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Country | US
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Telephone | 757-663-7184
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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 | 0701007816
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License Number State | VA
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