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General NPI Number Information
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NPI Number | 1255222006
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Entity Type | Individual
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Provider Name | MRS. ABIGAIL HALL
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1934 OLD GALLOWS RD STE 210
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City | VIENNA
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State | VA
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Zip | 22182-4043
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Country | US
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Telephone | 571-668-9033
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Fax |
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Provider Business Mailing Address
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Address Line | 3218 LOTHIAN RD APT 30
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City | FAIRFAX
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State | VA
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Zip | 22031-4818
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Country | US
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Telephone | 540-589-2869
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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 | 0704018229
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License Number State | VA
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