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General NPI Number Information
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NPI Number | 1902699788
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Entity Type | Individual
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Provider Name | NIA HUTSON
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Gender |
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 2100 GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182-3910
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Country | US
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Telephone | 703-506-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 SLEEPY LAKE DR
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City | FAIRFAX
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State | VA
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Zip | 22033-2841
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Country | US
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Telephone | 757-675-5043
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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