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General NPI Number Information
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NPI Number | 1639423817
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Entity Type | Organization
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Legal Business Name | PIEDMONT NEUROPSYCHOLOGY & COUNSELING PLC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 419 HOLIDAY CT STE. 30
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City | WARRENTON
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State | VA
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Zip | 20186-4365
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Country | US
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Telephone | 540-905-9135
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Fax |
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Provider Business Mailing Address
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Address Line | 419 HOLIDAY CT STE. 30
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City | WARRENTON
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State | VA
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Zip | 20186-4365
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Country | US
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Telephone | 540-905-9135
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DENISE LEAH NEWBY
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Credential | PSY.D.
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Telephone | 540-905-9135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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