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General NPI Number Information
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NPI Number | 1891397469
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Entity Type | Organization
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Legal Business Name | ROBIN JAHANIAN LCSW PLLC
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 15100 WASHINGTON ST STE 103
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City | HAYMARKET
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State | VA
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Zip | 20169-4919
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Country | US
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Telephone | 703-596-5079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 143
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City | HAYMARKET
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State | VA
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Zip | 20168-0143
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Country | US
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Telephone | 703-596-5079
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ROBIN JAHANIAN
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Credential | LCSW
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Telephone | 703-596-5079
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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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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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