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NPI 1306301874

NPI 1306301874 : MCLEAN BEHAVIORAL HEALTH : MC LEAN, VA

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General NPI Number Information
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    NPI Number           |    1306301874
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCLEAN BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    02/08/2019
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    Last Update Date     |    02/08/2019
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Provider Practice Location Address
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    Address Line         |    6289 DUNAWAY CT 
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    City                 |    MC LEAN
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    State                |    VA
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    Zip                  |    22101-2205
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    Country              |    US
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    Telephone            |    757-343-4848
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6289 DUNAWAY CT 
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    City                 |    MC LEAN
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    State                |    VA
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    Zip                  |    22101-2205
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    Country              |    US
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    Telephone            |    757-343-4848
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |    DR. NAHEED  SALEEM 
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    Credential           |    MD
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    Telephone            |    757-343-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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