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General NPI Number Information
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NPI Number | 1295544856
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Entity Type | Individual
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Provider Name | MS. KAREN ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 12020 SUNRISE VALLEY DR STE 100
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City | RESTON
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State | VA
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Zip | 20191-3429
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 21950 GARGANEY TERRACE 203
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City | ASHBURN
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State | VA
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Zip | 20147-2014
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Country | US
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Telephone | 571-338-9776
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007822
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License Number State | VA
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