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General NPI Number Information
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NPI Number | 1598630253
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Entity Type | Individual
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Provider Name | NICOLE ASHLEY PEREZ PARDO MSW
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 12701 MARBLESTONE DR STE 270
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City | WOODBRIDGE
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State | VA
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Zip | 22192-8328
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Country | US
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Telephone | 703-202-9069
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Fax |
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Provider Business Mailing Address
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Address Line | 7460 GOSHEN CT
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City | MANASSAS
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State | VA
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Zip | 20112-5558
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Country | US
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Telephone | 703-895-1083
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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 |
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License Number State | VA
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