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General NPI Number Information
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NPI Number | 1871814988
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Entity Type | Individual
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Provider Name | MAUREEN DANIELLE AMIRYAR MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 7350 HERITAGE VILLAGE PLZ SUITE 201
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City | GAINESVILLE
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State | VA
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Zip | 20155-3084
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Country | US
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Telephone | 571-248-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 14357 CHALFONT DR
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City | HAYMARKET
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State | VA
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Zip | 20169-2629
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Country | US
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Telephone | 571-261-1544
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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 | 0904007359
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License Number State | VA
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