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NPI 1821148552

NPI 1821148552 : ANA HUME LPC : MARYVILLE, TN

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General NPI Number Information
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    NPI Number           |    1821148552
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    Entity Type          |    Individual 
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    Provider Name        |    ANA HUME LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2007
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    210 SIMMONS ST 
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    City                 |    MARYVILLE
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    State                |    TN
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    Zip                  |    37801-4750
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    Country              |    US
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    Telephone            |    865-970-9800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2900 TAZEWELL PIKE STE G
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37918-1880
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    Country              |    US
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    Telephone            |    865-742-6488
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    Fax                  |    865-689-4443
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    0848
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    License Number State |    TN
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