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General NPI Number Information
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NPI Number | 1811643620
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Entity Type | Individual
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Provider Name | SACHA J GRAHAM LMHP-S, MSW, QMHCM
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 8221 WILLOW OAKS CORPORATE DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4512
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Country | US
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Telephone | 703-383-8535
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Fax | 703-653-7008
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Provider Business Mailing Address
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Address Line | 7921 JONES BRANCH DR STE 311
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City | MC LEAN
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State | VA
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Zip | 22102-3334
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Country | US
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Telephone | 703-772-5097
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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