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General NPI Number Information
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NPI Number | 1104332931
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Entity Type | Individual
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Provider Name | ALICIA MARIE MOORADIAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 6800 PARAGON PL STE 237
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City | RICHMOND
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State | VA
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Zip | 23230-1651
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Country | US
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Telephone | 804-562-9997
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Fax | 804-918-8284
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Provider Business Mailing Address
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Address Line | 721 BOULDER SPRINGS DR APT C1
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5533
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Country | US
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Telephone | 804-551-4904
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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 | ISW03465
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License Number State | RI
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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 | 0904010126
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License Number State | VA
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