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General NPI Number Information
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NPI Number | 1861031221
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Entity Type | Individual
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Provider Name | TAMARA SUE PHILBIN MS, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8009 FORT HUNT RD
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1207
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Country | US
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Telephone | 703-903-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 GLASGOW RD
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City | ALEXANDRIA
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State | VA
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Zip | 22307-1821
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Country | US
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Telephone | 571-238-7223
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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