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General NPI Number Information
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NPI Number | 1649906546
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Entity Type | Organization
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Legal Business Name | INSIDE OUT COUNSELING AND ASSESSMENT SERVICES, PLLC
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 1286 SUNCREST TOWN CENTRE DR FL 2
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City | MORGANTOWN
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State | WV
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Zip | 26505-1828
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Country | US
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Telephone | 304-898-8173
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Fax | 304-576-8494
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Provider Business Mailing Address
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Address Line | 511 BIRDIE CT
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City | MAIDSVILLE
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State | WV
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Zip | 26541-8189
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Country | US
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Telephone | 615-710-3624
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | YAPING ANDERSON
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Credential | PH.D.
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Telephone | 615-710-3624
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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