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General NPI Number Information
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NPI Number | 1841639390
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Entity Type | Individual
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Provider Name | CHRISTINA HOPE SUTHERLAND-KING LPC, LPCS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 10698 OCEAN HWY SUITE 202
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-7978
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Country | US
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Telephone | 843-240-1074
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Fax | 843-237-8304
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Provider Business Mailing Address
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Address Line | 10698 OCEAN HIGHWAY SUITE 202
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-7208
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Country | US
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Telephone | 843-240-1074
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Fax | 843-237-8304
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1734
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License Number State | SC
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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 | 1734
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License Number State | SC
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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 | 2250
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License Number State | SC
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