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NPI 1629576103

NPI 1629576103 : RHONDA DAWN BEGLEY LPCC, TCADC : RUSSELL SPRINGS, KY

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General NPI Number Information
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    NPI Number           |    1629576103
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    Entity Type          |    Individual 
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    Provider Name        |    RHONDA DAWN BEGLEY LPCC, TCADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2018
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    Last Update Date     |    11/25/2019
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Provider Practice Location Address
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    Address Line         |    703 E STEVE WARINER DR 
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    City                 |    RUSSELL SPRINGS
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    State                |    KY
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    Zip                  |    42642-4233
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    Country              |    US
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    Telephone            |    502-373-0117
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    Fax                  |    270-866-4022
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Provider Business Mailing Address
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    Address Line         |    10150 NEW COLUMBIA RD 
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    City                 |    CAMPBELLSVILLE
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    State                |    KY
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    Zip                  |    42718-9187
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    Country              |    US
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    Telephone            |    270-250-2075
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    174833
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    License Number State |    KY
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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       |    175282
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    License Number State |    KY
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