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General NPI Number Information
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NPI Number | 1740495415
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Entity Type | Individual
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Provider Name | EUGENE F. AUGUSTERFER MSW LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/03/2012
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Provider Practice Location Address
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Address Line | 1317 VINCENT PLACE, 2ND FLOOR
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City | MCLEAN
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State | VA
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Zip | 22101
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Country | US
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Telephone | 703-848-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 8104 RIDINGS CT
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City | MCLEAN
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State | VA
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Zip | 22102-1747
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Country | US
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Telephone | 703-848-1898
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904000961
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License Number State | VA
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