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General NPI Number Information
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NPI Number | 1922194133
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Entity Type | Organization
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Legal Business Name | HOFFMANN AND LEBEDA CHILD AND FAMILY SERVICES PLLC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 1 E MARKET ST SUITE 200
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City | LEESBURG
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State | VA
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Zip | 20176-3014
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Country | US
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Telephone | 703-421-2227
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Fax | 703-443-6639
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Provider Business Mailing Address
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Address Line | 1 E MARKET ST SUITE 200
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City | LEESBURG
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State | VA
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Zip | 20176-3014
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Country | US
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Telephone | 703-421-2227
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Fax | 703-443-6639
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. KATHERINE JANE LEBEDA
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Credential | L.C.S.W
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Telephone | 703-421-2227
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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 | 0904004032
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License Number State | VA
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