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General NPI Number Information
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NPI Number | 1972306496
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Entity Type | Individual
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Provider Name | AMY NOONE
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 206 WASHINGTON ST
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City | OCCOQUAN
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State | VA
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Zip | 22125-7765
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Country | US
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Telephone | 703-929-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 15610 GOLF CLUB DR
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City | DUMFRIES
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State | VA
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Zip | 22025-1113
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Country | US
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Telephone | 703-929-0609
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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 | 0701014866
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License Number State | VA
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