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General NPI Number Information
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NPI Number | 1134079791
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Entity Type | Individual
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Provider Name | MS. MANSI DOUGALL
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 19440 GOLF VISTA PLZ STE 230
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City | LANSDOWNE
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State | VA
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Zip | 20176-8264
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Country | US
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Telephone | 571-510-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 LIGHTFOOT ST UNIT 205
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City | CHANTILLY
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State | VA
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Zip | 20151-3011
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Country | US
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Telephone | 564-229-1897
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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 | 0730000741
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License Number State | VA
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