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General NPI Number Information
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NPI Number | 1205926656
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Entity Type | Individual
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Provider Name | TINA ARAM JIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 6723 WHITTIER AVE STE 403
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City | MC LEAN
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State | VA
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Zip | 22101-4533
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Country | US
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Telephone | 703-538-1110
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Fax | 703-288-4334
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Provider Business Mailing Address
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Address Line | 7618 CENTER ST
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2925
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Country | US
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Telephone | 703-204-0988
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Fax | 703-734-2994
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101234833
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License Number State | VA
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