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General NPI Number Information
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NPI Number | 1154070142
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Entity Type | Organization
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Legal Business Name | DUBOIS PSYCHOLOGICAL & CONSULTING SERVICES
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 1701 PENNSYLVANIA AVE NW STE 200
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City | WASHINGTON
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State | DC
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Zip | 20006-5823
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Country | US
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Telephone | 703-520-4118
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 GEORGIA AVE NW STE 1-708
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City | WASHINGTON
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State | DC
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Zip | 20011-5125
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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 | PSYCHOLOGIST
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Name | DR. CHELITA DUBOIS
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Credential | PSY.D.
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Telephone | 703-520-4118
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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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