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General NPI Number Information
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NPI Number | 1669629051
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Entity Type | Individual
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Provider Name | JOSHUA A ELLIOTT LPCC
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Gender | Male
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 114 DENNIS DR
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-536-5932
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Fax | 859-201-1329
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Provider Business Mailing Address
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Address Line | 2892 PEAKS MILL DR
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City | LEXINGTON
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State | KY
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Zip | 40511-8876
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Country | US
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Telephone | 859-536-5932
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Fax | 859-201-1329
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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 | 164143
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License Number State | KY
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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 | 164143
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License Number State | KY
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