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General NPI Number Information
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NPI Number | 1780149823
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Entity Type | Individual
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Provider Name | MARIE BLUNT LPC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2019
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 6584 POPLAR AVE FL 2
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City | MEMPHIS
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State | TN
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Zip | 38138-3687
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Country | US
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Telephone | 901-450-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 3552 PELHAM PKWY # 1086
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City | PELHAM
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State | AL
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Zip | 35124-2012
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Country | US
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Telephone | 901-450-9155
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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 | 04564
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License Number State | AL
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