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General NPI Number Information
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NPI Number | 1528536737
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Entity Type | Organization
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Legal Business Name | PIEDMONT COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 338 GAY STREET
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City | WASHINGTON
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State | VA
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Zip | 22747
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Country | US
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Telephone | 833-992-2747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | WASHINGTON
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State | VA
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Zip | 22747-0111
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Country | US
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Telephone | 540-671-0980
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANN BAUMGARDNER
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Credential | LPC
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Telephone | 540-671-0980
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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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