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General NPI Number Information
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NPI Number | 1720118839
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Entity Type | Individual
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Provider Name | PATRICIA H. POWERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 LITTLE FALLS ST STE 100B
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4323
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Country | US
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Telephone | 703-241-7718
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Fax | 793-241-9461
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Provider Business Mailing Address
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Address Line | 4513 STARR JORDAN DR
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City | ANNANDALE
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State | VA
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Zip | 22003-3829
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Country | US
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Telephone | 703-323-8751
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Fax | 703-241-9461
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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 | 0904005281
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License Number State | VA
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