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General NPI Number Information
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NPI Number | 1134854177
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Entity Type | Individual
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Provider Name | MISS DANIELLE PATRICIA VADO
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Gender | Female
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 8221 WILLOW OAKS CORPORATE DR STE 450
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City | FAIRFAX
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State | VA
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Zip | 22031-4512
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Country | US
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Telephone | 571-215-7014
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 S JEFFERSON ST APT 906
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City | ARLINGTON
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State | VA
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Zip | 22204-3122
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Country | US
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Telephone | 571-215-7014
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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 | 0906014031
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License Number State | VA
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