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General NPI Number Information
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NPI Number | 1720554413
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Entity Type | Organization
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Legal Business Name | SMARTMOVE COUNSELING AND THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 1320 MAIN ST STE 300
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City | COLUMBIA
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State | SC
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Zip | 29201-3266
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Country | US
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Telephone | 803-724-1346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 290382
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City | COLUMBIA
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State | SC
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Zip | 29229-0007
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Country | US
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Telephone | 615-243-7468
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA R. SMART
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Credential | OTR, LPC, NCC
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Telephone | 615-243-7468
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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 |
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License Number State |
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