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General NPI Number Information
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NPI Number | 1780154252
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Entity Type | Organization
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Legal Business Name | EMBRACING CHANGE, LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 44075 PIPELINE PLZ STE 220
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City | ASHBURN
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State | VA
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Zip | 20147-5890
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Country | US
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Telephone | 703-994-7531
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Fax | 703-327-9746
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Provider Business Mailing Address
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Address Line | 44075 PIPELINE PLZ STE 220
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City | ASHBURN
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State | VA
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Zip | 20147-5890
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Country | US
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Telephone | 703-994-7531
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Fax | 703-327-9746
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Authorized Official
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Title or Position | OWNER
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Name | DR. MERSEDEH CARTWRIGHT
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Credential | ED.D, LPC
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Telephone | 703-994-7531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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