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General NPI Number Information
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NPI Number | 1518114578
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Entity Type | Organization
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Legal Business Name | JAMES RIVER COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 412 MAIN AVE
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City | OAKES
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State | ND
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Zip | 58474-1600
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Country | US
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Telephone | 701-742-1513
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | OAKES
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State | ND
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Zip | 58474-0287
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Country | US
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Telephone | 701-742-1513
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STACEY RENEE MEEHL
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Credential |
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Telephone | 701-742-1513
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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 |
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License Number State |
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