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General NPI Number Information
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NPI Number | 1437004074
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Entity Type | Organization
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Legal Business Name | IVAN ROBERTS FOUNDATION
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 744 ROCK CREEK CHURCH RD NW
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City | WASHINGTON
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State | DC
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Zip | 20010-1617
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Country | US
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Telephone | 202-696-7183
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Fax |
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Provider Business Mailing Address
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Address Line | 7604 VICAR PL MARYLAND
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-2966
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Country | US
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Telephone | 202-696-7183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANDREA K RODNEY
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Credential | PHD HOLISTIC WELLNES
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Telephone | 202-696-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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