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General NPI Number Information
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NPI Number | 1639830482
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Entity Type | Individual
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Provider Name | PAUL POHTO PSY.D., LCP, HSP
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Gender | Male
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 217 S LIBERTY ST APT 224
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City | HARRISONBURG
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State | VA
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Zip | 22801-3778
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Country | US
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Telephone | 757-969-8205
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Fax |
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Provider Business Mailing Address
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Address Line | 217 S LIBERTY ST APT 224
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City | HARRISONBURG
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State | VA
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Zip | 22801-3778
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Country | US
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Telephone | 757-969-8205
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0810007640
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License Number State | VA
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