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General NPI Number Information
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NPI Number | 1073270682
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Entity Type | Organization
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Legal Business Name | EALPSYD LLC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 100 E SOUTH ST STE 5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5217
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Country | US
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Telephone | 757-266-1175
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Fax | 434-293-4690
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Provider Business Mailing Address
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Address Line | 100 E SOUTH ST STE 5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5217
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Country | US
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Telephone | 434-971-4747
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Fax | 434-293-4690
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Authorized Official
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Title or Position | OWNER
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Name | EMILY LUDWIG
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Credential | PSYD
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Telephone | 757-266-1175
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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 |
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License Number State |
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