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General NPI Number Information
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NPI Number | 1194999581
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Entity Type | Organization
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Legal Business Name | ADINA SHAPIRO, LCSW
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 1495 CHAIN BRIDGE RD STE 202
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City | MC LEAN
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State | VA
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Zip | 22101-5727
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Country | US
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Telephone | 703-761-3939
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Fax | 571-633-9798
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Provider Business Mailing Address
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Address Line | 1495 CHAIN BRIDGE RD STE 202
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City | MC LEAN
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State | VA
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Zip | 22101-5727
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Country | US
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Telephone | 703-761-3939
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Fax | 571-633-9798
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Authorized Official
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Title or Position | LCSW
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Name | ADINA Y SHAPIRO
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Credential |
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Telephone | 703-761-3939
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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 | 0904004355
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License Number State | VA
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