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General NPI Number Information
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NPI Number | 1598168940
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Entity Type | Individual
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Provider Name | SONAL R VYAS MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 7412 GEORGIA AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 919-395-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 9039 SLIGO CREEK PKWY APT 806
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City | SILVER SPRING
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State | MD
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Zip | 20901-3302
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Country | US
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Telephone | 919-395-5329
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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 | LC50081089
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License Number State | DC
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