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General NPI Number Information
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NPI Number | 1487351136
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Entity Type | Individual
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Provider Name | SHELBY LEE PEARCE LPC-R
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 827 E PARHAM RD STE 4
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City | RICHMOND
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State | VA
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Zip | 23227-1126
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Country | US
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Telephone | 804-262-9479
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Fax |
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Provider Business Mailing Address
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Address Line | 6513 W BANES CT
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City | CHESTERFIELD
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State | VA
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Zip | 23832-8250
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Country | US
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Telephone | 757-818-0199
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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 | 0704015631
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License Number State | VA
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