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General NPI Number Information
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NPI Number | 1912741372
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Entity Type | Individual
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Provider Name | RONDA T GANDY MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1007 W EVANS ST STE 2
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City | FLORENCE
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State | SC
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Zip | 29501-3317
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Country | US
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Telephone | 864-538-6906
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Fax | 864-479-4141
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Provider Business Mailing Address
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Address Line | PO BOX 846 1816 N. GOVERNOR WILLIAMS HWY
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City | DARLINGTON
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State | SC
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Zip | 29540-0846
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Country | US
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Telephone | 843-861-0006
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Fax | 864-479-4141
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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 | 11393
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License Number State | SC
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