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General NPI Number Information
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NPI Number | 1841010881
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Entity Type | Individual
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Provider Name | BERKLEY ANNE CONNER LPC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2111 CLARKTON RD
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City | NATHALIE
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State | VA
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Zip | 24577-3133
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Country | US
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Telephone | 434-830-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 103 FAIRWAY DR
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City | DANVILLE
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State | VA
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Zip | 24541-5719
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Country | US
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Telephone | 434-222-9098
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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 | 0701014443
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License Number State | VA
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