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General NPI Number Information
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NPI Number | 1265494207
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Entity Type | Organization
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Legal Business Name | CENTER FOR MULTICULTURAL HUMAN SERVICES
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 701 W BROAD ST 305
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3220
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Country | US
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Telephone | 703-533-3302
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Fax | 703-237-2083
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Provider Business Mailing Address
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Address Line | 701 W BROAD ST 305
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3220
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Country | US
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Telephone | 703-533-3302
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Fax | 703-237-2083
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Authorized Official
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Title or Position | ACTING EXECUTIVE DIRECTOR
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Name | REBECCA GABA
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Credential |
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Telephone | 703-533-3302
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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 | 108
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License Number State | VA
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