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General NPI Number Information
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NPI Number | 1952772717
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Entity Type | Individual
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Provider Name | STACEY KIGER LPC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 708 S ROSEMONT RD SUITE 203
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4061
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Country | US
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Telephone | 757-431-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 220A 80TH ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1931
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Country | US
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Telephone | 571-242-4887
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006357
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License Number State | VA
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