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General NPI Number Information
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NPI Number | 1508442021
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Entity Type | Individual
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Provider Name | ZACHARY SKYE PENNINGTON LPC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 58 KENMORE ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-4338
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Country | US
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Telephone | 540-251-7728
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Fax | 540-434-2127
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Provider Business Mailing Address
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Address Line | 9618 S CONGRESS ST
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City | NEW MARKET
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State | VA
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Zip | 22844-9450
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Country | US
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Telephone | 540-478-2378
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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 | 0701010354
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License Number State | VA
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