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General NPI Number Information
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NPI Number | 1164370748
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Entity Type | Organization
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Legal Business Name | SHARED SMILE BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-755-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 7154 PENNYS TOWN CT
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City | ANNANDALE
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State | VA
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Zip | 22003-3100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ADELYN LIM
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Credential | DNP, PMHNP
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Telephone | 303-718-6245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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