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General NPI Number Information
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NPI Number | 1598293268
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Entity Type | Organization
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Legal Business Name | TOTAL LIFE COUNSELING
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 9 E LOOCKERMAN ST STE 308
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City | DOVER
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State | DE
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Zip | 19901-8305
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Country | US
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Telephone | 302-244-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 9 E LOOCKERMAN ST STE 308
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City | DOVER
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State | DE
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Zip | 19901-8305
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Country | US
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Telephone | 302-244-8054
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TAMIKA CULVER
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Credential |
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Telephone | 302-244-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | Q1-0001389
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License Number State | DE
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