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General NPI Number Information
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NPI Number | 1558048678
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Entity Type | Individual
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Provider Name | ABIGAIL LEE SORRELLS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 3111 N LEE HWY
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City | LEXINGTON
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State | VA
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Zip | 24450-3200
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Country | US
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Telephone | 540-463-6693
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | FAIRFIELD
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State | VA
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Zip | 24435-0236
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Country | US
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Telephone | 540-810-6518
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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 | 0701005006
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License Number State | VA
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