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General NPI Number Information
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NPI Number | 1811889181
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Entity Type | Individual
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Provider Name | SHANTE C THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 6101 BARBOURSVILLE LN APT 1A
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-0027
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Country | US
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Telephone | 804-243-0637
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CHESTERFIELD
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State | VA
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Zip | 23832-0001
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Country | US
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Telephone | 804-243-0637
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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