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General NPI Number Information
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NPI Number | 1427704089
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Entity Type | Individual
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Provider Name | ZACHARY RYAN SHIFFLETT
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Gender | Male
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 5240 LYNGATE CT
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City | BURKE
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State | VA
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Zip | 22015-1631
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Country | US
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Telephone | 703-249-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 T ST NW APT 3
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City | WASHINGTON
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State | DC
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Zip | 20009-7149
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Country | US
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Telephone | 703-249-9565
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701011829
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License Number State | VA
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