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General NPI Number Information
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NPI Number | 1245331107
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Entity Type | Individual
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Provider Name | JIVAN S MAY LCSWC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 2331 MILL RD SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4677
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Country | US
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Telephone | 202-257-8824
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Fax | 703-683-3779
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Provider Business Mailing Address
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Address Line | 1315 PRINCESS ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2211
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Country | US
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Telephone | 202-257-8824
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Fax | 703-683-3779
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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 | 0904006003
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13002
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License Number State | MD
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