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General NPI Number Information
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NPI Number | 1710347315
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Entity Type | Individual
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Provider Name | VIRGINIA POPE LPC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 262 SOUTHTOWN CIR
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City | ROLESVILLE
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State | NC
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Zip | 27571-9593
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Country | US
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Telephone | 919-999-7457
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Fax |
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Provider Business Mailing Address
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Address Line | 7212 MADIERA CT
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City | RALEIGH
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State | NC
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Zip | 27615-3328
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Country | US
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Telephone | 919-740-7942
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11870
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License Number State | NC
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