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General NPI Number Information
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NPI Number | 1245922178
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Entity Type | Individual
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Provider Name | BRIANNA LA NYCE ECTOR PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 10513 JUDICIAL DR STE 301
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City | FAIRFAX
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State | VA
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Zip | 22030-7528
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Country | US
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Telephone | 703-966-5173
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Fax |
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Provider Business Mailing Address
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Address Line | 6212 LES DORSON LN
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City | ALEXANDRIA
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State | VA
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Zip | 22315-3228
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Country | US
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Telephone | 571-221-7048
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810008176
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License Number State | VA
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