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General NPI Number Information
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NPI Number | 1588054761
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Entity Type | Organization
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Legal Business Name | THE HUMAN ELEMENT
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 3100 LONDON BLVD #1
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3402
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Country | US
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Telephone | 757-398-3200
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Fax | 757-398-3211
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Provider Business Mailing Address
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Address Line | 3100 LONDON BLVD #1
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3402
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Country | US
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Telephone | 757-398-3200
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Fax | 757-398-3211
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANNE DOYLE HAUER
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Credential | LPC
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Telephone | 757-398-3200
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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 | 0701005094
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License Number State | VA
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