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General NPI Number Information
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NPI Number | 1174335517
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Entity Type | Individual
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Provider Name | CAITLYN DEMERS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 15941 DONALD CURTIS DR STE 200
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4257
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Country | US
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Telephone | 703-792-4900
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Fax | 703-792-7057
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Provider Business Mailing Address
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Address Line | 5625 FILLMORE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1533
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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