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General NPI Number Information
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NPI Number | 1558415968
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Entity Type | Organization
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Legal Business Name | NATIONAL CAPITAL TREATMENT AND RECOVERY
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 521 N. QUINCY STREET
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City | ARLINGTON
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State | VA
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Zip | 22203
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Country | US
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Telephone | 703-841-0703
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Fax | 703-243-0975
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Provider Business Mailing Address
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Address Line | 200 N GLEBE RD STE 104
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City | ARLINGTON
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State | VA
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Zip | 22203-3755
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Country | US
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Telephone | 703-841-0703
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Fax | 703-243-0975
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | DAVID NICHOLAS
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Credential |
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Telephone | 703-825-8762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 122
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-01-006
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-01-007
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-01-11
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-14-003
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-14-001
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License Number State | VA
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 122-14-002
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License Number State | VA
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