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General NPI Number Information
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NPI Number | 1427116219
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Entity Type | Organization
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Legal Business Name | DBN SERVICES
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10560 MAIN ST 518
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City | FAIRFAX
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State | VA
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Zip | 22030-7182
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Country | US
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Telephone | 703-352-4777
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Fax | 703-934-2718
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Provider Business Mailing Address
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Address Line | 319 S GARFIELD ST
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City | ARLINGTON
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State | VA
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Zip | 22204-2049
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Country | US
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Telephone | 703-685-0440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS B NELSON
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Credential | LPC
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Telephone | 703-352-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701001944
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License Number State | VA
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