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General NPI Number Information
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NPI Number | 1578724332
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Entity Type | Individual
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Provider Name | NEDA LOPEZ LCSW, CSAC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1425 BATTLEFIELD BLVD N STE 2182
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4585
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Country | US
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Telephone | 757-524-0797
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Fax | 757-823-4265
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Provider Business Mailing Address
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Address Line | 1425 BATTLEFIELD BLVD N STE 2182
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4585
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Country | US
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Telephone | 757-524-0797
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Fax | 757-296-6082
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007394
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License Number State | VA
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