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General NPI Number Information
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NPI Number | 1245677384
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Entity Type | Individual
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Provider Name | ADDIE LOUISE HALLSCOTT MSW, ACSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 11304 WILDERNESS PARK DR
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-8331
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Country | US
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Telephone | 540-735-4031
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Fax | 540-972-0538
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Provider Business Mailing Address
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Address Line | 11304 WILDERNESS PARK DR
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-8331
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Country | US
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Telephone | 540-735-4031
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Fax | 540-972-0538
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG101668
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License Number State | DC
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