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General NPI Number Information
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NPI Number | 1487484978
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Entity Type | Individual
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Provider Name | CRANE HAVENS LPC
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Gender | Male
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1579 HARBORSUN DR
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City | CHARLESTON
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State | SC
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Zip | 29412-8274
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Country | US
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Telephone | 843-997-6275
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Fax |
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Provider Business Mailing Address
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Address Line | 1579 HARBORSUN DR
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City | CHARLESTON
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State | SC
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Zip | 29412-8274
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Country | US
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Telephone |
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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 | 8670
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | COU.7062.PCI
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License Number State | SC
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