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General NPI Number Information
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NPI Number | 1013844497
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Entity Type | Individual
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Provider Name | JOSE SILVA LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 6563 EDSALL RD
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City | SPRINGFIELD
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State | VA
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Zip | 22151-4414
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Country | US
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Telephone | 703-354-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1344 GRANT ST
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City | HERNDON
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State | VA
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Zip | 20170-3009
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0904017401
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License Number State | VA
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