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General NPI Number Information
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NPI Number | 1235456583
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Entity Type | Individual
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Provider Name | MARJORIE DE VEER LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 507 E BELLEFONTE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1200
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Country | US
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Telephone | 571-414-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CONNECTICUT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20008
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Country | US
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Telephone | 202-588-1288
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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 | LC50079152
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License Number State | DC
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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 | 72073623
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License Number State | NY
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