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General NPI Number Information
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NPI Number | 1528250719
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Entity Type | Individual
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Provider Name | MARIA HELENA VANDERLEI COLLINS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2430 POPLAR AVE STE 3000
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City | MEMPHIS
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State | TN
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Zip | 38112-3246
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Country | US
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Telephone | 901-679-1717
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Fax | 901-458-9522
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Provider Business Mailing Address
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Address Line | 6099 MT MORIAH RD EXT STE 39
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City | MEMPHIS
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State | TN
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Zip | 38115-2667
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Country | US
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Telephone | 901-370-5678
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Fax | 901-844-3242
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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 | LPC0000001435
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License Number State | VI
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