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General NPI Number Information
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NPI Number | 1700037256
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Entity Type | Organization
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Legal Business Name | CROSSING T.C., PLLC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 1976 WILLIAM ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5128
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Country | US
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Telephone | 540-899-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 1976 WILLIAM ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5128
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Country | US
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Telephone | 540-899-3009
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN, CEO
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Name | DR. RODNEY SCOTT SHUMATE
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Credential | PSY.D
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Telephone | 540-899-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 810003158
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 810003158
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License Number State | VA
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