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General NPI Number Information
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NPI Number | 1265396022
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Entity Type | Individual
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Provider Name | ALEXANDRA LEIGH HALLER MS, ATR-P
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 144 CHURCH ST NW STE 205
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City | VIENNA
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State | VA
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Zip | 22180-4550
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Country | US
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Telephone | 571-234-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 WOOD MILL CT
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City | RICHMOND
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State | VA
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Zip | 23231-7157
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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 |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 25-753
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | VA
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