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General NPI Number Information
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NPI Number | 1538789425
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Entity Type | Individual
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Provider Name | AISHAH NAOMI KHURSHEED LMFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 739 THIMBLE SHOALS BLVD STE 704 A/B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-897-5756
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Fax | 757-765-6743
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Provider Business Mailing Address
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Address Line | 739 THIMBLE SHOALS BLVD STE 704 A/B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-897-5756
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Fax | 757-765-6743
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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 | 0717001597
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License Number State | VA
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