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General NPI Number Information
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NPI Number | 1952802902
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Entity Type | Individual
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Provider Name | LEWIS STONE HOLLAND MS, LPC, C-DBT
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Gender | Male
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 125 E CHEVES ST # 118
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City | FLORENCE
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State | SC
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Zip | 29506-2526
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Country | US
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Telephone | 843-629-2435
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Fax | 843-317-5606
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Provider Business Mailing Address
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Address Line | 125 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2526
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Country | US
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Telephone | 843-629-2435
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Fax | 843-317-5606
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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 | 9752
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License Number State | SC
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