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General NPI Number Information
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NPI Number | 1427815836
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Entity Type | Individual
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Provider Name | MR. XAVIER JUSTICE
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Gender | Male
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3420 STANTON RD SE APT 303
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City | WASHINGTON
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State | DC
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Zip | 20020-2256
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Country | US
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Telephone | 202-270-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 STANTON RD SE APT 303
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City | WASHINGTON
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State | DC
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Zip | 20020-2256
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Country | US
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Telephone | 202-270-8525
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 284933
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 00801-21-A
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | PR0394
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 259
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License Number State | DC
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