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General NPI Number Information
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NPI Number | 1679280077
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Entity Type | Individual
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Provider Name | BRITTANY WARF STASSIN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 6784 BEACH DR
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City | RADFORD
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State | VA
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Zip | 24141-8318
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Country | US
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Telephone | 540-239-0431
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Fax |
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Provider Business Mailing Address
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Address Line | 6784 BEACH DR
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City | RADFORD
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State | VA
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Zip | 24141-8318
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Country | US
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Telephone | 540-239-0431
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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 | 0701014158
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License Number State | VA
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