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General NPI Number Information
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NPI Number | 1528782182
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Entity Type | Individual
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Provider Name | TORI BREEDING LPCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 14 E GRAFTON RD STE C
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City | FAIRMONT
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State | WV
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Zip | 26554-4465
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Country | US
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Telephone | 304-816-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 14 E GRAFTON RD STE C
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City | FAIRMONT
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State | WV
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Zip | 26554-4465
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 278711
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 780
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License Number State | WV
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