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General NPI Number Information
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NPI Number | 1285966085
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Entity Type | Individual
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Provider Name | ALIMATU SADIA MUSTAPHA LPC; CSAC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 17844 OYSTER BAY CT
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City | DUMFRIES
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State | VA
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Zip | 22026-4529
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Country | US
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Telephone | 703-898-8760
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Fax | 703-221-9105
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Provider Business Mailing Address
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Address Line | 17844 OYSTER BAY CT
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City | DUMFRIES
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State | VA
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Zip | 22026-4529
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Country | US
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Telephone | 703-898-8760
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Fax | 703-221-9105
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701004492
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC13771
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License Number State | DC
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