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General NPI Number Information
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NPI Number | 1285665166
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Entity Type | Individual
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Provider Name | NABIL EL-GHOROURY PH.D
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 2425 HUNTINGTON PARK DR
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2256
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Country | US
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Telephone | 202-753-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 6412 BRANDON AVE # 304
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2513
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Country | US
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Telephone | 202-753-4773
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5983
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810007882
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License Number State | VA
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