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General NPI Number Information
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NPI Number | 1760792832
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Entity Type | Organization
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Legal Business Name | MHP PLUS
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 207 POINTER CIR APT 1
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-6929
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Country | US
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Telephone | 804-929-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 207 POINTER CIR APT 1
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-6929
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Country | US
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Telephone | 804-929-1301
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIR.OF CLINICAL OPERATIO
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Name | MISS MARTY SUE SPLETTSTOESSER
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Credential |
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Telephone | 804-836-5276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904006885
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License Number State | VA
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