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General NPI Number Information
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NPI Number | 1558501577
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Entity Type | Individual
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Provider Name | MERCEDES TERESA TIKOYAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 8270 WILLOW OAKS CORPORATE DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4530
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Country | US
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Telephone | 703-675-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 8270 WILLOW OAKS CORPORATE DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4530
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Country | US
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Telephone | 703-675-6700
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | PPS-0601005
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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 | 0904005704
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License Number State | VA
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