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General NPI Number Information
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NPI Number | 1902342405
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Entity Type | Individual
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Provider Name | VICTORIA JENNIE COMMANDER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 3937 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2423
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Country | US
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Telephone | 803-399-8683
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Fax | 888-320-8093
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Provider Business Mailing Address
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Address Line | 187 COATBRIDGE DR
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9168
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Country | US
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Telephone | 773-726-3968
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 10811
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License Number State | SC
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