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General NPI Number Information
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NPI Number | 1659824142
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Entity Type | Individual
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Provider Name | ANGELA WAUGH DICKINSON LPC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 42009 VICTORY LN
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City | LEESBURG
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State | VA
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Zip | 20176-6269
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Country | US
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Telephone | 703-777-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1198 JOHNNYCAKE LN
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City | HARPERS FERRY
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State | WV
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Zip | 25425-4513
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Country | US
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Telephone | 540-287-1089
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002094
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2669
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License Number State | WV
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