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General NPI Number Information
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NPI Number | 1811614076
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Entity Type | Individual
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Provider Name | SHENELL CUMMINGS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 5505 INDIAN RIVER RD STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5252
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Country | US
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Telephone | 757-289-1126
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Fax |
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Provider Business Mailing Address
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Address Line | 563 DE LAURA LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5716
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Country | US
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Telephone | 757-717-7652
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Fax | 757-431-0106
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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 | 0701011894
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License Number State | VA
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