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NPI 1770698300

NPI 1770698300 : DAVID ARMSTRONG EDELMAN MSW : FALLS CHURCH, VA

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General NPI Number Information
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    NPI Number           |    1770698300
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID ARMSTRONG EDELMAN MSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    107 PARK PL 
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    City                 |    FALLS CHURCH
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    State                |    VA
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    Zip                  |    22046-4513
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    Country              |    US
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    Telephone            |    703-533-5634
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    Fax                  |    703-532-0597
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Provider Business Mailing Address
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    Address Line         |    1816 OPALOCKA DR 
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    City                 |    MCLEAN
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    State                |    VA
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    Zip                  |    22101-5445
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    Country              |    US
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    Telephone            |    703-533-5634
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    Fax                  |    703-532-0597
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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       |    0904003264
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    License Number State |    VA
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