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General NPI Number Information
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NPI Number | 1558695346
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Entity Type | Individual
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Provider Name | ERIN MOREY METHENY LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1313 VINCENT PL
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City | MC LEAN
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State | VA
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Zip | 22101-3615
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Country | US
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Telephone | 703-677-1548
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Fax |
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Provider Business Mailing Address
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Address Line | 910 M ST NW UNIT 128
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City | WASHINGTON
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State | DC
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Zip | 20001-6313
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Country | US
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Telephone | 703-677-1548
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001194
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT000128
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2549
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License Number State | FL
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