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General NPI Number Information
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NPI Number | 1497412936
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Entity Type | Individual
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Provider Name | TATYANA SUARES LGPC,NCC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 1627 K ST NW STE 400
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City | WASHINGTON
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State | DC
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Zip | 20006-1711
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Country | US
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Telephone | 202-643-0344
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Fax |
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Provider Business Mailing Address
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Address Line | 5055 S CHESTERFIELD RD APT 610
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City | ARLINGTON
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State | VA
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Zip | 22206-1061
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Country | US
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Telephone | 954-604-3971
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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 |
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License Number State |
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