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General NPI Number Information
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NPI Number | 1043935976
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Entity Type | Individual
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Provider Name | RENU ALDRICH
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 1501 LEE HWY STE 102
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City | ARLINGTON
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State | VA
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Zip | 22209-1109
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Country | US
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Telephone | 703-909-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 7922 DENTON DR
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City | CLINTON
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State | MD
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Zip | 20735-2039
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Country | US
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Telephone | 914-819-2765
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001119
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM892
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001552
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License Number State | VA
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