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General NPI Number Information
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NPI Number | 1467556670
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Entity Type | Individual
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Provider Name | ANNE M ALLEN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 5833 RICHMOND TAPPAHANNOCK HWY SUITE 108-B
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City | AYLETT
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State | VA
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Zip | 23009-3007
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Country | US
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Telephone | 804-769-7971
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Fax | 804-769-0714
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Provider Business Mailing Address
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Address Line | PO BOX 284
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City | AYLETT
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State | VA
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Zip | 23009-0284
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Country | US
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Telephone | 804-769-7971
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Fax | 804-769-0714
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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 | 0701003219
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License Number State | VA
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