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General NPI Number Information
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NPI Number | 1851162903
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Entity Type | Organization
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Legal Business Name | LITTLE DOVE LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 118 W SHIPYARD RD
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-2678
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Country | US
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Telephone | 843-849-4126
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Fax |
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Provider Business Mailing Address
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Address Line | 118 W SHIPYARD RD
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-2678
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Country | US
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Telephone | 404-519-3621
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KRISTIN HUNTER KROLL
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Credential | PHD
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Telephone | 404-519-3621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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