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General NPI Number Information
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NPI Number | 1164329363
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Entity Type | Individual
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Provider Name | NICOLE M. CHAU
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Gender | Female
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/21/2026
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Provider Practice Location Address
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Address Line | 3931 UNIVERSITY DR
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City | FAIRFAX
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State | VA
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Zip | 22030-2506
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Country | US
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Telephone | 703-492-9993
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Fax |
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Provider Business Mailing Address
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Address Line | 22122 WHISPERHILL CT
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City | BROADLANDS
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State | VA
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Zip | 20148-5300
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Country | US
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Telephone | 804-519-6155
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701016968
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License Number State | VA
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