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General NPI Number Information
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NPI Number | 1558133280
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Entity Type | Individual
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Provider Name | MS. ANNETTE SMITH
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Gender | Female
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 8325 FINWORTH LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-3872
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Country | US
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Telephone | 804-325-7479
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Fax | 804-562-3736
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Provider Business Mailing Address
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Address Line | 8325 FINWORTH LN
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-3872
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Country | US
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Telephone | 804-325-7479
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Fax | 804-562-3736
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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 | 7146-07-06
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License Number State | VA
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