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General NPI Number Information
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NPI Number | 1659928729
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Entity Type | Organization
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Legal Business Name | TRUVINE TELEHEALTH PROFESSIONALS, LLC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 624 WESTON ARCH
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City | CHESAPEAKE
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State | VA
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Zip | 23325-5035
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Country | US
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Telephone | 330-274-6025
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Fax |
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Provider Business Mailing Address
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Address Line | 732E EDEN WAY N STE 525
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2790
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Country | US
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Telephone | 330-317-0882
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. SEMONE Y DANAGE
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Credential | M.ED, ED.S.,LPCC-S
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Telephone | 330-317-0882
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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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