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General NPI Number Information
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NPI Number | 1841723376
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Entity Type | Individual
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Provider Name | MR. LEMUEL EMMITT RAWLS II
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 7676 HARVEST DR
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City | SUFFOLK
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State | VA
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Zip | 23437-9363
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Country | US
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Telephone | 704-778-1269
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Fax |
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Provider Business Mailing Address
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Address Line | 7676 HARVEST DR
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City | SUFFOLK
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State | VA
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Zip | 23437-9363
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Country | US
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Telephone | 704-778-1269
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A12886
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 070104479
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License Number State | VA
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