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General NPI Number Information
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NPI Number | 1003402991
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Entity Type | Individual
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Provider Name | ANA-ALICIA FARRAR BROWN LICSW, LCSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 2700 NEABSCO COMMON PLACE SUITE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22191
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Country | US
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Telephone | 571-412-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 15000 POTOMAC TOWN PLACE SUITE 100 #149
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4123
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Country | US
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Telephone | 336-926-7476
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 30315
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200001879
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904014414
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License Number State | VA
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