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General NPI Number Information
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NPI Number | 1588424089
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Entity Type | Individual
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Provider Name | EMMA RATPOJANAKUL LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1530 WILSON BLVD STE 520
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City | ARLINGTON
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State | VA
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Zip | 22209-2419
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Country | US
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Telephone | 888-609-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 3061 MOUNT VERNON AVE UNIT N301
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City | ALEXANDRIA
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State | VA
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Zip | 22305-3203
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Country | US
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Telephone | 301-404-5827
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903004050
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License Number State | VA
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