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General NPI Number Information
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NPI Number | 1619375433
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Entity Type | Individual
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Provider Name | MICHELLE PRICE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 806 E MAIN ST STE 200
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City | BEDFORD
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State | VA
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Zip | 24523-2939
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Country | US
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Telephone | 540-583-5095
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Fax | 540-583-5098
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Provider Business Mailing Address
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Address Line | 806 E MAIN ST STE 200
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City | BEDFORD
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State | VA
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Zip | 24523-2939
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Country | US
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Telephone | 540-583-5095
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Fax | 540-583-5098
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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 | 0701005476
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License Number State | VA
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