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General NPI Number Information
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NPI Number | 1811266893
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Entity Type | Individual
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Provider Name | RONALD A. ROSS LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 804 PINECREST RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-1626
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Country | US
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Telephone | 757-713-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 267 HUNTERS TRL
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City | FRANKLIN
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State | NC
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Zip | 28734-2283
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Country | US
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Telephone | 757-713-2004
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Fax | 828-524-1940
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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 | C007504
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License Number State | NC
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