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General NPI Number Information
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NPI Number | 1770655409
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Entity Type | Organization
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Legal Business Name | ABINGDON CENTER COUNSELING GROUP, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 350 RUSSELL ROAD
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City | ABINGDON
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State | VA
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Zip | 24210-2761
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Country | US
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Telephone | 276-628-1664
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Fax | 276-628-9875
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Provider Business Mailing Address
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Address Line | PO BOX 1443
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City | ABINGDON
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State | VA
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Zip | 24212-1443
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Country | US
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Telephone | 276-628-1664
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Fax | 276-628-9875
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Authorized Official
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Title or Position | V-PRES
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Name | LYNDA S WARNER
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Credential | MSW
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Telephone | 276-628-1664
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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