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General NPI Number Information
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NPI Number | 1528169430
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Entity Type | Organization
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Legal Business Name | FAUQUIER COUNSELING CENTER
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 54 E LEE ST
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-347-0613
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Fax | 540-347-0768
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Provider Business Mailing Address
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Address Line | 54 E LEE ST
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-347-0613
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Fax | 540-347-0768
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. THOMAS P DUGGAN
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Credential | LCSW
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Telephone | 540-347-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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