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General NPI Number Information
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NPI Number | 1053858472
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Entity Type | Individual
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Provider Name | THOMAS CAPSHEW LCSW, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 7921 JONES BRANCH DR SUITE 400
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City | MC LEAN
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State | VA
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Zip | 22102-3306
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Country | US
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Telephone | 703-444-9141
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Fax | 703-953-1013
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Provider Business Mailing Address
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Address Line | 14 LITTLE BROOK CIR
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-1822
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Country | US
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Telephone | 540-621-8742
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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 | 0904009203
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License Number State | VA
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