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General NPI Number Information
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NPI Number | 1629579008
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Entity Type | Individual
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Provider Name | ERIN HAMPTON DAVIS MA, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 294 E MAIN AVE
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-2517
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Country | US
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Telephone | 828-528-6837
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Fax | 828-800-9976
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Provider Business Mailing Address
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Address Line | 86 WAGNER RD
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-2783
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Country | US
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Telephone | 828-578-8357
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701008360
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License Number State | VA
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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 | 17013
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License Number State | NC
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