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General NPI Number Information
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NPI Number | 1952260432
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Entity Type | Individual
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Provider Name | ROBERT ALLEN DIERKER II
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 5691 COLUMBIA PIKE STE 200
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City | FALLS CHURCH
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State | VA
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Zip | 22041-2888
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Country | US
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Telephone | 703-998-5606
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Fax | 703-998-5608
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Provider Business Mailing Address
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Address Line | 12429 PETREL XING
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2954
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Country | US
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Telephone | 703-402-6526
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Fax | 703-852-3495
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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 | 0704016142
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License Number State | VA
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