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General NPI Number Information
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NPI Number | 1730296534
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Entity Type | Individual
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Provider Name | ELIZABETH LOPEZ LOPEZ-CARDONA LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 8348 TRAFORD LN SUITE 400
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1663
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Country | US
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Telephone | 703-866-2150
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Fax | 703-451-7539
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Provider Business Mailing Address
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Address Line | 3301 RICHMOND HWY. #1143
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City | ALEXANDRIA
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State | VA
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Zip | 22305
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Country | US
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Telephone | 703-520-1070
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Fax | 703-451-7539
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000144
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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 | 0701002419
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License Number State | VA
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