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General NPI Number Information
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NPI Number | 1992457436
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Entity Type | Individual
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Provider Name | TIA S COLEMAN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 9105A OWENS DR STE 102
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City | MANASSAS PARK
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State | VA
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Zip | 20111-4852
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Country | US
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Telephone | 571-445-0265
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Fax |
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Provider Business Mailing Address
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Address Line | 8628 VENOY CT
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City | ALEXANDRIA
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State | VA
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Zip | 22309-1566
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Country | US
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Telephone | 915-979-6698
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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