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General NPI Number Information
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NPI Number | 1487957221
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Entity Type | Individual
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Provider Name | MS. SHIRLEY ANN MYERS
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Gender | Female
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 7010 LITTLE RIVER TPKE STE 335
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City | ANNANDALE
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State | VA
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Zip | 22003-3249
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Country | US
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Telephone | 703-813-0156
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Fax |
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Provider Business Mailing Address
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Address Line | 9806 BROADMOOR TER
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-5358
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Country | US
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Telephone | 301-856-0888
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Fax | 301-877-1245
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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 | LC303483
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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 | 13413
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License Number State | MD
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