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General NPI Number Information
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NPI Number | 1205715992
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Entity Type | Organization
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Legal Business Name | ALISON C SMITH PHD PLLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 10400 EATON PL STE 430
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City | FAIRFAX
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State | VA
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Zip | 22030-2208
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Country | US
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Telephone | 703-407-9181
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 EATON PL STE 430
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City | FAIRFAX
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State | VA
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Zip | 22030-2208
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Country | US
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Telephone | 703-407-9181
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | ALISON C SMITH
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Credential | PHD
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Telephone | 703-407-9181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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