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General NPI Number Information
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NPI Number | 1811236557
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Entity Type | Organization
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Legal Business Name | SHILOH COUNSELING, PLLC
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 272 LONDON MOUNTAIN VIEW DR
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City | LONDON
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State | KY
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Zip | 40741-6601
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Country | US
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Telephone | 606-878-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 272 LONDON MOUNTAIN VIEW DR
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City | LONDON
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State | KY
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Zip | 40741-6601
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Country | US
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Telephone | 606-878-1131
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DOROTHY JEAN SMITH
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Credential | LCSW
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Telephone | 606-231-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | KY
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