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General NPI Number Information
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NPI Number | 1003949728
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Entity Type | Individual
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Provider Name | KIRSTEN J. CHADWICK PHD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4545 CONNECTICUT AVE NW SUITE 417
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City | WASHINGTON
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State | DC
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Zip | 20008-6042
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Country | US
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Telephone | 202-558-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 8513 RAYBURN RD
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City | BETHESDA
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State | MD
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Zip | 20817-3827
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Country | US
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Telephone | 301-897-9480
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1000180
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3621
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810000355
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License Number State | VA
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