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General NPI Number Information
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NPI Number | 1770813636
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1625 FRANKLIN ST
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6390
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Country | US
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Telephone | 540-483-9082
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Fax | 540-483-9082
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Provider Business Mailing Address
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Address Line | 1625 FRANKLIN ST
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6390
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Country | US
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Telephone | 540-483-9082
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Fax | 540-483-9082
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DARRELL HUNLEY
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Credential |
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Telephone | 540-483-9082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HU75172
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License Number State | FL
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