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General NPI Number Information
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NPI Number | 1619638517
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Entity Type | Individual
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Provider Name | AYANA STINSON-RICHARDSON
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Gender | Female
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 16688 HIGHLANDS PKWY
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City | WHITETOP
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State | VA
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Zip | 24292-2652
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Country | US
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Telephone | 540-293-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 18134 SW 98TH AVE APT 201
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5585
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Country | US
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Telephone |
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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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