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General NPI Number Information
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NPI Number | 1821980111
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Entity Type | Individual
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Provider Name | SHAINA REESE-ANN LESTER MED, LPC
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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 | 07/19/2025
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Provider Practice Location Address
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Address Line | 850 SHANNONS BRANCH RD
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-8407
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Country | US
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Telephone | 276-282-4430
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Fax |
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Provider Business Mailing Address
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Address Line | 254 CAMPBELL LN
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City | TAZEWELL
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State | VA
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Zip | 24651-5387
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Country | US
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Telephone | 843-324-3761
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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 | 0701015103
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License Number State | VA
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