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General NPI Number Information
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NPI Number | 1437424454
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Entity Type | Individual
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Provider Name | REBECCA M. STEVENSON LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 8221 WILLOW OAKS CORPORATE DR STE 4-430
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City | FAIRFAX
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State | VA
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Zip | 22031-4512
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Country | US
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Telephone | 240-383-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 3527 AUSTIN AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3103
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Country | US
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Telephone | 240-383-2251
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50079127
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009817
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License Number State | VA
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