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General NPI Number Information
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NPI Number | 1972225357
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Entity Type | Individual
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Provider Name | MERYL MENEZES
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 8000 TOWERS CRESCENT DR FL 13
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City | VIENNA
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State | VA
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Zip | 22182-6211
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Country | US
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Telephone | 240-219-8615
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 RUPERT ST
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City | MC LEAN
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State | VA
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Zip | 22101-5450
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Country | US
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Telephone | 571-282-9866
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903003917
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License Number State | VA
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