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General NPI Number Information
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NPI Number | 1205774304
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Entity Type | Individual
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Provider Name | MRS. DEJA HOWARD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 4191 INNSLAKE DR STE 211
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3324
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Country | US
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Telephone | 804-303-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 KEENEY CT.
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City | HENRICO
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State | VA
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Zip | 23238
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Country | US
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Telephone | 757-310-9789
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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 | 0904020164
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License Number State | VA
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