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NPI 1821624362

NPI 1821624362 : LAYNE HITCHCOCK : MORGANTOWN, WV

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General NPI Number Information
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    NPI Number           |    1821624362
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    Entity Type          |    Individual 
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    Provider Name        |    LAYNE HITCHCOCK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/17/2020
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    933 CHEAT RD 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26508-5631
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    Country              |    US
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    Telephone            |    304-554-2292
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    933 CHEAT RD 
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26508-5631
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    Country              |    US
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    Telephone            |    304-554-2292
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2267
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    License Number State |    WV
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