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General NPI Number Information
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NPI Number | 1922314517
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Entity Type | Individual
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Provider Name | JOY ELIZABETH MANUEL LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 204 PALMETTO PARK BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-7851
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Country | US
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Telephone | 803-359-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 205 ASHEWOOD COMMONS DR
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City | COLUMBIA
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State | SC
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Zip | 29209-2739
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Country | US
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Telephone | 803-446-6324
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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 | 11003
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License Number State | SC
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