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General NPI Number Information
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NPI Number | 1548974611
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Entity Type | Individual
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Provider Name | ZANDRE LABUSCHAGNE PH.D., HSP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 85 WHITE BRIDGE PIKE STE 302
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City | NASHVILLE
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State | TN
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Zip | 37205-1565
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Country | US
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Telephone | 615-238-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 34B N HILL ST
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City | NASHVILLE
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State | TN
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Zip | 37210-3416
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Country | US
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Telephone | 312-623-0135
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3659
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License Number State | TN
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