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General NPI Number Information
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NPI Number | 1376053645
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Entity Type | Individual
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Provider Name | JENNIFER ANN BATRA LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 24718 TRIBE SQ APT 305
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City | STERLING
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State | VA
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Zip | 20166-2660
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Country | US
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Telephone | 917-818-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 585 GROVE ST STE 145
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City | HERNDON
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State | VA
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Zip | 20170-4791
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Country | US
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Telephone |
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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 | 0904014451
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 092093
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TPSW2750
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC21897
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0135185
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License Number State | VT
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