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NPI 1194455527

NPI 1194455527 : FRANCIS KULESA LCSW : ANNANDALE, VA

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General NPI Number Information
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    NPI Number           |    1194455527
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCIS KULESA LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2022
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    Last Update Date     |    03/21/2025
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Provider Practice Location Address
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    Address Line         |    7630 LITTLE RIVER TPKE 
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    City                 |    ANNANDALE
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    State                |    VA
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    Zip                  |    22003-2643
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    Country              |    US
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    Telephone            |    833-698-4357
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5601 SEMINARY RD APT 301N 
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    City                 |    FALLS CHURCH
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    State                |    VA
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    Zip                  |    22041-5102
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    Country              |    US
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    Telephone            |    571-353-5318
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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       |    0904013812
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    License Number State |    VA
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