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General NPI Number Information
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NPI Number | 1740292044
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Entity Type | Individual
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Provider Name | ANDREA LOBALBO LCSW LCSWC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 405 N WASHINGTON ST STE 101
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3410
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Country | US
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Telephone | 703-596-2125
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Fax |
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Provider Business Mailing Address
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Address Line | 2023 N LEXINGTON ST
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City | ARLINGTON
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State | VA
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Zip | 22205-3232
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Country | US
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Telephone | 703-596-2125
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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 | 12769
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0904006135
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License Number State | VA
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