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General NPI Number Information
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NPI Number | 1154401834
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Entity Type | Individual
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Provider Name | JOAN ANNETTE BOES PHD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 1250 S WASHINGTON ST UNIT 509
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4431
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Country | US
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Telephone | 703-519-7021
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Fax | 703-299-0716
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Provider Business Mailing Address
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Address Line | 1250 S WASHINGTON # 509
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4455
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Country | US
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Telephone | 703-519-7021
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Fax | 703-299-0716
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810002462
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License Number State | VA
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