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General NPI Number Information
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NPI Number | 1588290100
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Entity Type | Individual
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Provider Name | PAYAL MEHTA JOSEPH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/15/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 267-407-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 12195 CHAUCER LN
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City | WOODBRIDGE
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State | VA
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Zip | 22192-5281
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Country | US
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Telephone | 267-407-5100
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022145
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License Number State | PA
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