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General NPI Number Information
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NPI Number | 1194726794
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Entity Type | Individual
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Provider Name | ERIC DANIEL CIPRIANO LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 4000 ARLINGTON BLVD, FOREIGN SERVICE INSTITUTE FSI/TC/CEFAR
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City | ARLINGTON
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State | VA
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Zip | 22204-2220
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Country | US
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Telephone | 703-746-2937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2463
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City | YORKTOWN
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State | VA
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Zip | 23692-5463
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Country | US
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Telephone | 915-203-7487
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1897
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29983
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 1401142966
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010218
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License Number State | VA
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