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General NPI Number Information
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NPI Number | 1134691116
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Entity Type | Individual
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Provider Name | RHAEA GOFF LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/01/2019
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Last Update Date | 01/01/2019
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Provider Practice Location Address
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Address Line | 950 N WASHINGTON ST # 307
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1534
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Country | US
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Telephone | 757-621-8049
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Fax |
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Provider Business Mailing Address
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Address Line | 1044 COPPER STONE CIR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8273
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Country | US
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Telephone | 757-621-8049
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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 | 0904008926
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License Number State | VA
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