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General NPI Number Information
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NPI Number | 1083056824
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Entity Type | Individual
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Provider Name | JANELLE MCDONALD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 43158 BARNSTEAD DR
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City | ASHBURN
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State | VA
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Zip | 20148-6822
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Country | US
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Telephone | 571-406-4946
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Fax | 703-463-9197
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Provider Business Mailing Address
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Address Line | 43158 BARNSTEAD DR
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City | ASHBURN
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State | VA
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Zip | 20148-6822
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Country | US
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Telephone | 571-406-4946
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Fax | 703-463-9197
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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