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General NPI Number Information
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NPI Number | 1780923607
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Entity Type | Individual
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Provider Name | FAITH ELIZABETH HARMON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 555 SOUTHLAKE BLVD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3060
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Country | US
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Telephone | 804-516-4684
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Fax |
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Provider Business Mailing Address
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Address Line | 14104 HICKORY OAKS LN
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City | ASHLAND
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State | VA
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Zip | 23005-3146
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Country | US
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Telephone | 804-798-3959
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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 | 0904007755
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License Number State | VA
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