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NPI 1811922651

NPI 1811922651 : JOHN PENN TURNER LPC, LSATP : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1811922651
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN PENN TURNER LPC, LSATP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    01/04/2012
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Provider Practice Location Address
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    Address Line         |    106 CATY LN 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22901-3208
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    Country              |    US
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    Telephone            |    434-978-3900
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    Fax                  |    434-978-3933
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Provider Business Mailing Address
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    Address Line         |    106 CATY LN 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22901-3208
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    Country              |    US
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    Telephone            |    434-978-3900
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    Fax                  |    434-978-3933
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    718000055
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    License Number State |    VA
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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       |    701002755
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    5588
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    License Number State |    NC
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