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General NPI Number Information
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NPI Number | 1780891432
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Entity Type | Individual
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Provider Name | KATHERINE BERGIN ZAEPFEL MSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 10560 MAIN ST 402
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City | FAIRFAX
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State | VA
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Zip | 22030-7182
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Country | US
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Telephone | 703-359-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 9026 LONGSTREET DR
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City | MANASSAS
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State | VA
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Zip | 20110-8830
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Country | US
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Telephone | 703-392-6775
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Fax | 703-392-6775
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904002325
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License Number State | VA
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