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General NPI Number Information
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NPI Number | 1770875379
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Entity Type | Individual
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Provider Name | LAVERNE HANES COLLINS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2011
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 1301 CAROLINA ST STE 114
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City | GREENSBORO
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State | NC
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Zip | 27401-1090
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Country | US
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Telephone | 404-704-2280
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Fax | 888-269-9127
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Provider Business Mailing Address
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Address Line | 2440 N BEECH LN
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City | GREENSBORO
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State | NC
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Zip | 27455-1274
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Country | US
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Telephone | 404-704-2280
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Fax | 888-269-9127
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC006399
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13664
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License Number State | NC
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