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General NPI Number Information
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NPI Number | 1518775295
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Entity Type | Organization
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Legal Business Name | NATHAN HEFNER LPC PC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2340 COMMONWEALTH DR
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City | CHARLOTTESVLE
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State | VA
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Zip | 22901-1634
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Country | US
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Telephone | 434-249-8416
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 COMMONWEALTH DR
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City | CHARLOTTESVLE
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State | VA
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Zip | 22901-1634
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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 | CREDENTIALING MANAGER
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Name | HOLLY SHUMATE
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Credential |
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Telephone | 434-316-1826
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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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