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General NPI Number Information
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NPI Number | 1346405115
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Entity Type | Individual
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Provider Name | MARLENE JOAN DRUCKER MSW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1655 FORT MYER DR SUITE 350
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City | ARLINGTON
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State | VA
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Zip | 22209-3113
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Country | US
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Telephone | 703-465-1515
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Fax | 703-465-4443
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Provider Business Mailing Address
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Address Line | 1655 FORT MYER DR SUITE 350
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City | ARLINGTON
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State | VA
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Zip | 22209-3113
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Country | US
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Telephone | 703-465-1515
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Fax | 703-465-4443
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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 | 0904000244
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License Number State | VA
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