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General NPI Number Information
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NPI Number | 1467864702
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Entity Type | Individual
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Provider Name | AMANDA ANN BRITTON LPC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 5700 THURSTON AVE SUITE 209
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-3302
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Country | US
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Telephone | 757-965-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 913 RATON CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-6640
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Country | US
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Telephone | 757-285-1254
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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 | 0701005808
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License Number State | VA
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