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General NPI Number Information
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NPI Number | 1497667257
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Entity Type | Individual
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Provider Name | HEATHER BETH AUSTIN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 8551 RIXLEW LN STE 401
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City | MANASSAS
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State | VA
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Zip | 20109-4277
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Country | US
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Telephone | 571-424-1764
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Fax | 703-520-7738
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Provider Business Mailing Address
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Address Line | 11700 WISTERIA POND WAY APT 202
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City | MANASSAS
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State | VA
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Zip | 20109-3829
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Country | US
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Telephone | 703-872-9252
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903004669
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License Number State | VA
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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 | 0906016647
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License Number State | VA
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