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General NPI Number Information
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NPI Number | 1457440695
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Entity Type | Individual
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Provider Name | LISA J SPIELMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20905 PROFESSIONAL PLAZA SUITE 220
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-858-9841
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Fax |
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Provider Business Mailing Address
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Address Line | 22438 MAISON CARREE SQ
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City | ASHBURN
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State | VA
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Zip | 20148-3114
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Country | US
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Telephone | 703-723-3822
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701003844
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License Number State | VA
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