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General NPI Number Information
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NPI Number | 1982989661
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Entity Type | Individual
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Provider Name | BLAIR DANZ LPC,LCMHC,SUPERVISOR
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Gender | Female
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1 MAIN ST
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City | SPRINGFIELD
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State | VT
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Zip | 05156-2935
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Country | US
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Telephone | 802-373-4584
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Fax | 802-341-6568
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Provider Business Mailing Address
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Address Line | 1 MAIN ST STE A
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City | SPRINGFIELD
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State | VT
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Zip | 05156-2935
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Country | US
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Telephone | 802-373-4584
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Fax | 802-341-6568
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 67393
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License Number State | TX
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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 |
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License Number State |
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