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General NPI Number Information
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NPI Number | 1033489935
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Entity Type | Individual
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Provider Name | JENNIFER KAREN ROHN MA LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 24600 MILLSTREAM DR STE 340
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City | STONE RIDGE
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State | VA
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Zip | 20105-5686
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Country | US
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Telephone | 703-996-9826
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Fax |
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Provider Business Mailing Address
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Address Line | 44050 ASHBURN SHOPPING PLZ STE 195-620
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City | ASHBURN
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State | VA
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Zip | 20147-7915
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Country | US
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Telephone | 703-996-9826
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MG60259367
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001577
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License Number State | VA
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