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NPI 1043312119

NPI 1043312119 : JOHNI J. SPINELLI M.ED. : LEESBURG, VA

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General NPI Number Information
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    NPI Number           |    1043312119
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    Entity Type          |    Individual 
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    Provider Name        |    JOHNI J. SPINELLI M.ED.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    102 HERITAGE WAY NE STE 302 
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    City                 |    LEESBURG
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    State                |    VA
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    Zip                  |    20176-4544
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    Country              |    US
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    Telephone            |    703-771-5100
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    Fax                  |    703-777-0170
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Provider Business Mailing Address
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    Address Line         |    12106 WESTWOOD HILLS DR 
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    City                 |    OAK HILL
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    State                |    VA
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    Zip                  |    20171-1513
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    Country              |    US
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    Telephone            |    703-391-7309
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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       |    
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    License Number State |    
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