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General NPI Number Information
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NPI Number | 1588610679
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Entity Type | Organization
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Legal Business Name | MEIER CLINICS FOUNDATION
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 3959 PENDER DR SUITE 305
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City | FAIRFAX
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State | VA
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Zip | 22030-6041
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Country | US
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Telephone | 703-383-8333
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Fax | 703-383-3183
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Provider Business Mailing Address
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Address Line | 3959 PENDER DR SUITE 305
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City | FAIRFAX
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State | VA
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Zip | 22030-6041
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Country | US
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Telephone | 703-383-8333
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Fax | 703-383-3183
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Authorized Official
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Title or Position | NATIONAL EXECUTIVE ASSISTANT
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Name | SANDY NEWPORT
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Credential |
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Telephone | 630-653-1717
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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 | 0904005066
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701001651
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09040034
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 904004891
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101048081
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License Number State | VA
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