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General NPI Number Information
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NPI Number | 1548053531
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Entity Type | Individual
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Provider Name | CHRISTINA DRUTHER
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1602 VILLAGE MARKET BLVD SE STE 210
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City | LEESBURG
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State | VA
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Zip | 20175-4721
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Country | US
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Telephone | 703-303-8563
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Fax |
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Provider Business Mailing Address
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Address Line | 42230 BIG SPRINGS CT
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City | LEESBURG
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State | VA
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Zip | 20176-6288
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Country | US
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Telephone | 443-253-2968
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0704018002
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License Number State | VA
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