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General NPI Number Information
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NPI Number | 1851915185
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Entity Type | Individual
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Provider Name | TY ORLANDO ADAMS LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 5400 SHAWNEE RD
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2300
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Country | US
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Telephone | 585-733-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ROOSEVELT BLVD APT 303
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City | FALLS CHURCH
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State | VA
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Zip | 22044-3132
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Country | US
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Telephone |
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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 | 096185-01
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License Number State | NY
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