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General NPI Number Information
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NPI Number | 1235537275
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Entity Type | Individual
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Provider Name | JOAN ADVENT MAHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 2405 W MAIN ST
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City | RICHMOND
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State | VA
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Zip | 23220-4448
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Country | US
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Telephone | 804-204-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 OAKENGATE LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-4077
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Country | US
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Telephone | 804-204-1661
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904003400
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License Number State | VA
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