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General NPI Number Information
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NPI Number | 1588393557
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Entity Type | Individual
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Provider Name | BRITTANY RENEE PALMER
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 17932 FRALEY BLVD STE 240
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City | DUMFRIES
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State | VA
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Zip | 22026-2456
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Country | US
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Telephone | 571-636-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1604 BUTTERNUT DR
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City | NORTH PRINCE GEORGE
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State | VA
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Zip | 23860-7612
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Country | US
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Telephone | 804-835-4703
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0704015121
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License Number State | VA
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