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General NPI Number Information
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NPI Number | 1417802315
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Entity Type | Organization
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Legal Business Name | DAN ROTH, PLLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 2579 JOHN MILTON DR STE 210
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City | HERNDON
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State | VA
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Zip | 20171-2564
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Country | US
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Telephone | 703-214-4924
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Fax |
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Provider Business Mailing Address
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Address Line | 1549 INLET CT
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City | RESTON
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State | VA
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Zip | 20190-4423
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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 | OWNER
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Name | DANIEL ROTH
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Credential | MA, NCC, LPC-R
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Telephone | 301-466-5503
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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 |
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License Number State |
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