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General NPI Number Information
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NPI Number | 1518237205
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Entity Type | Individual
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Provider Name | VANESSA LYNN VICTOR LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1200 1ST ST NE FL 10
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City | WASHINGTON
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State | DC
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Zip | 20002-7954
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Country | US
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Telephone | 202-573-6585
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CONNECTICUT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20036-4303
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Country | US
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Telephone | 323-509-6115
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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 | ASW31416
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License Number State | CA
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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 |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | LC50080447
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License Number State | DC
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