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General NPI Number Information
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NPI Number | 1720400583
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Entity Type | Individual
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Provider Name | VENESS NESHA HALL M.S,, L.P.C.C.,N.C.C
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Gender | Male
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 1311 N DIXIE HWY
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2621
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Country | US
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Telephone | 502-889-9388
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 N DIXIE HWY
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2621
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Country | US
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Telephone | 502-889-9388
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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 | 225144
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License Number State | KY
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