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General NPI Number Information
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NPI Number | 1699326462
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Entity Type | Individual
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Provider Name | VICTORIA EDGINGTON MA, LPCC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 8410 FALLS OF NEUSE RD STE D
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City | RALEIGH
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State | NC
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Zip | 27615-3536
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Country | US
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Telephone | 803-322-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 8410 FALLS OF NEUSE RD STE D
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City | RALEIGH
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State | NC
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Zip | 27615-3536
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Country | US
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Telephone | 803-322-2221
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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 | 21198
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License Number State | NC
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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 | C.2103109
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2504985
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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