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General NPI Number Information
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NPI Number | 1083751770
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Entity Type | Organization
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Legal Business Name | PHILIP I. HABER, LTD.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12050 S LAKES DR
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City | RESTON
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State | VA
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Zip | 20191-1220
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Country | US
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Telephone | 703-476-2348
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Fax | 703-476-6013
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Provider Business Mailing Address
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Address Line | 11123 TIMBERHEAD CT
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City | RESTON
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State | VA
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Zip | 20191-4700
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Country | US
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Telephone | 703-476-2348
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Fax | 703-476-6013
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP I. HABER
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Credential | L.P.C.
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Telephone | 703-476-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701000976
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License Number State | VA
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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 | 0904000882
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License Number State | VA
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