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General NPI Number Information
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NPI Number | 1528591344
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Entity Type | Organization
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Legal Business Name | LUCY BEDENBAUGH, LPC, LLC
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 1624 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-1809
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Country | US
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Telephone | 803-274-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 1281 MARYDALE LN
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City | ROCK HILL
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State | SC
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Zip | 29732-3132
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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 | LPC
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Name | LUCY BEDENBAUGH
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Credential |
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Telephone | 803-274-1567
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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 | 6199
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License Number State | SC
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