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General NPI Number Information
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NPI Number | 1457179467
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Entity Type | Individual
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Provider Name | VALERIE BLUE SANDERS LGPC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 6505 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1688
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Country | US
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Telephone | 240-225-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 12810 TRAVILAH RD
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City | POTOMAC
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State | MD
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Zip | 20854-1018
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Country | US
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Telephone | 925-222-1860
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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 |
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License Number State |
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