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General NPI Number Information
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NPI Number | 1851554091
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Entity Type | Individual
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Provider Name | STEFANIE LYNN ARCHIE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 127 E COLLEGE ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2517
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Country | US
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Telephone | 334-347-4480
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Fax | 866-536-5916
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Provider Business Mailing Address
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Address Line | 526 BOLL WEEVIL CIR OFC B
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City | ENTERPRISE
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State | AL
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Zip | 36330-4012
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Country | US
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Telephone | 334-417-0212
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Fax | 334-417-0213
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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 | 2698
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License Number State | AL
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