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General NPI Number Information
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NPI Number | 1750274437
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Entity Type | Individual
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Provider Name | TRUMAN DEREE ME
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Gender | Male
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 2008 BREMO RD STE 111
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City | RICHMOND
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State | VA
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Zip | 23226-2443
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Country | US
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Telephone | 804-918-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 6108 OLD LANDING WAY
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City | BURKE
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State | VA
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Zip | 22015-4764
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Country | US
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Telephone | 540-257-5148
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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 |
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License Number State |
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