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General NPI Number Information
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NPI Number | 1972941003
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Entity Type | Organization
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Legal Business Name | VISION COUNSELING & VOCATIONAL CONSULTING
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 9367 TWO NOTCH RD SUITE F-1
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City | COLUMBIA
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State | SC
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Zip | 29223-6442
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Country | US
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Telephone | 803-563-5087
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Fax |
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Provider Business Mailing Address
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Address Line | 9367 TWO NOTCH RD SUITE F-1
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City | COLUMBIA
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State | SC
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Zip | 29223-6442
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Country | US
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Telephone | 803-563-5087
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHADDRICK LANEIR MIDDLETON
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Credential | CRC, CVE, LPC-I
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Telephone | 803-563-5087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9472
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License Number State | SC
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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 | #5466
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License Number State | SC
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