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NPI 1598717068

NPI 1598717068 : RONNA B ADLER L.C.S.W. : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1598717068
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    Entity Type          |    Individual 
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    Provider Name        |    RONNA B ADLER L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2006
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    Last Update Date     |    05/03/2017
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Provider Practice Location Address
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    Address Line         |    1417 BATTLEFIELD BLVD N STE 260
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4579
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    Country              |    US
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    Telephone            |    757-436-0605
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    Fax                  |    757-436-0605
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Provider Business Mailing Address
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    Address Line         |    2580 POTTERS RD 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23454-4324
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    Country              |    US
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    Telephone            |    757-498-9391
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    Fax                  |    757-498-7073
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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       |    0904001137
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    License Number State |    VA
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