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NPI 1649461864

NPI 1649461864 : DAVID K READ LPC : GREENWOOD, SC

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General NPI Number Information
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    NPI Number           |    1649461864
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID K READ LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2007
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    Last Update Date     |    11/07/2007
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Provider Practice Location Address
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    Address Line         |    105 VINE CREST CT SUITE 300
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29646
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    Country              |    US
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    Telephone            |    864-223-5111
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    Fax                  |    864-223-9245
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Provider Business Mailing Address
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    Address Line         |    105 VINE CREST COURT SUITE 700
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29646
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    Country              |    US
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    Telephone            |    864-943-4859
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    Fax                  |    864-943-0718
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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       |    4851
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    License Number State |    SC
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