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General NPI Number Information
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NPI Number | 1649819137
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Entity Type | Organization
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Legal Business Name | ABUNDANT SOLUTIONS LLC
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 606 DENBIGH BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4413
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Country | US
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Telephone | 757-932-7455
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Fax | 757-898-3312
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Provider Business Mailing Address
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Address Line | 606 DENBIGH BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4413
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Country | US
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Telephone | 757-932-7455
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Fax | 757-898-3312
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | DR. NIKIA EDWARDS
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Credential | PHD, LPC, CSAC, NCC
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Telephone | 757-817-8100
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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 |
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License Number State |
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