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General NPI Number Information
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NPI Number | 1386315604
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Entity Type | Individual
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Provider Name | ROBERTA BUGG-BEY
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 11230 WAPLES MILL RD STE 100
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City | FAIRFAX
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State | VA
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Zip | 22030-6087
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Country | US
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Telephone | 703-591-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 3188 NARROW GLEN WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22192-1409
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Country | US
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Telephone | 571-384-0736
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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