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General NPI Number Information
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NPI Number | 1033997788
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Entity Type | Individual
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Provider Name | ALEXA HOLLINSHEAD PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 7610 PENNSYLVANIA AVE STE 203
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City | FORESTVILLE
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State | MD
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Zip | 20747-4716
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Country | US
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Telephone | 470-322-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 7708 RICHMOND HWY # 1039
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City | ALEXANDRIA
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State | VA
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Zip | 22306-2803
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Country | US
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Telephone |
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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 | 07105
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License Number State | MD
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